Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Facility		$11.06	$11.06	$11.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $13.68	Professional		$11.06	$11.06	$13.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $103.74 / $194.75	Facility		$76.55	$103.74	$194.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $32.46 / $32.46	Professional		$30.84	$32.46	$32.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $18.80 / $38.09	Facility		$11.06	$18.80	$38.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $283.32 / $283.32	Professional		$21.35	$283.32	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $25.15 / $38.67	Facility		$17.89	$25.15	$38.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $25.28 / $38.67	Professional		$18.86	$25.28	$38.67