Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $116.01 / $116.01	Professional		$116.01	$116.01	$116.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $124.89 / $131.46	Professional		$115.68	$124.89	$131.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $167.51	Facility		$88.16	$88.16	$167.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $158.69 / $196.41	Professional		$88.16	$158.69	$196.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $158.15 / $632.74	Facility		$91.92	$158.15	$632.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $69.37 / $143.60	Professional		$52.74	$69.37	$143.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.76 / $31.63	Facility		$16.64	$16.76	$31.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $20.69 / $39.61	Professional		$16.76	$20.69	$39.61
United Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $69.37 / $117.08	Professional		$53.34	$69.37	$117.08