Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $275.64 / $3,898.73	Facility		$175.82	$275.64	$3,898.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $198.25 / $449.57	Professional		$175.82	$198.25	$449.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $205.16 / $205.16	Facility		$153.87	$205.16	$205.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $199.00 / $205.16	Professional		$189.09	$199.00	$205.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.00 / $205.00 / $205.00	Facility		$205.00	$205.00	$205.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $181.22 / $222.61	Professional		$178.09	$181.22	$222.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.01 / $175.82 / $874.00	Facility		$157.01	$175.82	$874.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $175.82 / $259.81	Professional		$174.80	$175.82	$259.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.03 / $260.76 / $373.38	Facility		$209.03	$260.76	$373.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $210.98 / $442.68	Professional		$198.17	$210.98	$442.68
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $181.22 / $199.34	Professional		$172.16	$181.22	$199.34