Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $9.26 / $9.26	Facility		$9.26	$9.26	$9.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $11.46	Professional		$9.26	$9.26	$11.46
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 $19.82 / $20.87 / $20.87	Professional		$19.82	$20.87	$20.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $15.65 / $27.49	Facility		$9.26	$15.65	$27.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $283.32 / $283.32	Professional		$18.44	$283.32	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $18.44 / $28.42	Facility		$14.99	$18.44	$28.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $18.44 / $28.42	Professional		$13.51	$18.44	$28.42