Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $133.00 / $358.80	Facility		$95.00	$133.00	$358.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $358.80	Professional		$358.80	$358.80	$358.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.45 / $500.30 / $975.56	Facility		$383.45	$500.30	$975.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.55 / $381.98 / $385.83	Professional		$366.55	$381.98	$385.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $257.81 / $587.26	Professional		$126.31	$257.81	$587.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $95.00 / $356.25	Facility		$76.00	$95.00	$356.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $390.00 / $448.50	Professional		$90.25	$390.00	$448.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $191.56 / $540.51	Facility		$98.66	$191.56	$540.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $138.15 / $540.51	Professional		$105.16	$138.15	$540.51
United Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $390.00 / $448.50	Professional		$370.50	$390.00	$448.50