Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $201.30 / $231.50	Facility		$104.95	$201.30	$231.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $241.04	Professional		$104.73	$104.73	$241.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $112.64 / $118.57	Facility		$88.93	$112.64	$118.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $117.38 / $118.81	Professional		$112.64	$117.38	$118.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $104.73 / $127.97	Professional		$102.38	$104.73	$127.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $104.95 / $502.50	Facility		$95.45	$104.95	$502.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $104.95 / $115.45	Professional		$100.50	$104.95	$115.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $151.10 / $201.46	Facility		$110.80	$151.10	$201.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $125.94 / $234.67	Professional		$109.74	$125.94	$234.67
United Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $104.73 / $115.20	Professional		$99.49	$104.73	$115.20