Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Facility		$79.45	$79.45	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $79.45 / $240.85	Professional		$58.01	$79.45	$240.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,396.85 / $1,837.24 / $3,839.94	Facility		$1,396.85	$1,837.24	$3,839.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $80.70 / $81.53	Professional		$77.45	$80.70	$81.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $96.75 / $120.94	Professional		$89.33	$96.75	$120.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $147.94 / $390.73	Facility		$79.45	$147.94	$390.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $69.41 / $141.91	Professional		$31.78	$69.41	$141.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $104.18 / $114.75	Facility		$91.56	$104.18	$114.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $104.18 / $175.48	Professional		$82.00	$104.18	$175.48
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $69.41 / $141.91	Professional		$31.78	$69.41	$141.91