Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $121.03 / $121.03	Professional		$121.03	$121.03	$121.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $135.59 / $142.72	Professional		$125.59	$135.59	$142.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $160.78	Facility		$62.10	$62.10	$160.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $156.38 / $208.59	Professional		$62.10	$156.38	$208.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $124.24 / $640.17	Facility		$62.24	$124.24	$640.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $72.92 / $114.39	Professional		$42.01	$72.92	$114.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $17.86 / $34.13	Facility		$17.80	$17.86	$34.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $22.31 / $42.22	Professional		$17.86	$22.31	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $72.92 / $98.14	Professional		$48.61	$72.92	$98.14