Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $36.75 / $45.35	Facility		$21.00	$36.75	$45.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
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 $180.84 / $190.37 / $190.37	Professional		$180.84	$190.37	$190.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.75 / $300.94 / $487.35	Professional		$240.75	$300.94	$487.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $499.23 / $1,122.17	Facility		$21.00	$499.23	$1,122.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $124.79 / $307.62	Professional		$78.45	$124.79	$307.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $307.62 / $530.36	Facility		$257.00	$307.62	$530.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $360.62 / $530.36	Professional		$263.94	$360.62	$530.36
United Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $124.79 / $205.77	Professional		$78.45	$124.79	$205.77