Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.44 / $315.44 / $315.44	Facility		$315.44	$315.44	$315.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.44 / $315.44 / $315.44	Professional		$315.44	$315.44	$315.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.49 / $788.07 / $1,479.42	Facility		$581.49	$788.07	$1,479.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.52 / $1,254.23 / $1,254.23	Professional		$1,191.52	$1,254.23	$1,254.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.44 / $536.25 / $2,111.16	Facility		$315.44	$536.25	$2,111.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,103.35 / $3,879.51 / $3,879.51	Professional		$1,103.35	$3,879.51	$3,879.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $509.88 / $844.13 / $1,623.77	Facility		$509.88	$844.13	$1,623.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $626.88 / $1,103.35 / $1,623.77	Professional		$626.88	$1,103.35	$1,623.77