Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $97.99 / $97.99	Professional		$97.99	$97.99	$97.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.64 / $301.64 / $301.64	Facility		$301.64	$301.64	$301.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $93.26 / $98.18	Professional		$86.40	$93.26	$98.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $145.31 / $208.59	Professional		$116.25	$145.31	$208.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $106.45 / $538.49	Facility		$83.29	$106.45	$538.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $199.39 / $259.72	Professional		$156.44	$199.39	$259.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $170.55 / $262.11	Facility		$130.38	$170.55	$262.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $174.06 / $277.76	Professional		$130.38	$174.06	$277.76
United Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $230.06 / $257.13	Professional		$156.44	$230.06	$257.13