Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $634.29 / $634.29	Professional		$634.29	$634.29	$634.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.45 / $707.59 / $744.83	Professional		$655.45	$707.59	$744.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $980.87	Facility		$647.96	$647.96	$980.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.96 / $889.50 / $1,140.43	Professional		$647.96	$889.50	$1,140.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $898.22 / $3,751.53	Facility		$553.91	$898.22	$3,751.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $379.17 / $614.16	Professional		$271.47	$379.17	$614.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $98.09 / $164.97	Facility		$86.07	$98.09	$164.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $114.05 / $231.84	Professional		$98.09	$114.05	$231.84
United Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $379.17 / $603.26	Professional		$291.63	$379.17	$603.26