Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $180.20 / $207.23	Facility		$75.00	$180.20	$207.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $125.87	Professional		$75.00	$75.00	$125.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $90.00 / $90.00	Facility		$67.50	$90.00	$90.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $89.09 / $90.00	Professional		$85.50	$89.09	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $82.50 / $103.13	Professional		$79.50	$82.50	$103.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $142.50 / $389.38	Facility		$93.75	$142.50	$389.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $99.76	Professional		$90.69	$90.69	$99.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $91.58 / $184.04	Facility		$85.39	$91.58	$184.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $125.14 / $200.37	Professional		$85.39	$125.14	$200.37
United Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $90.69 / $90.69	Professional		$86.16	$90.69	$90.69