Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Facility		$69.18	$69.18	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $87.10	Professional		$53.70	$72.44	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $524.81	Facility		$204.17	$269.15	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Professional		$66.07	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $173.78	Professional		$81.28	$102.33	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $141.25	Facility		$67.61	$85.11	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $467.74	Professional		$91.20	$138.04	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $194.98	Professional		$93.33	$125.89	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $165.96	Professional		$93.33	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $199.53	Professional		$93.33	$144.54	$199.53