Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $139.33 / $176.55	Facility		$63.90	$139.33	$176.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $107.24	Professional		$63.90	$63.90	$107.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $20.12 / $20.12	Facility		$15.09	$20.12	$20.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $19.92 / $20.12	Professional		$19.10	$19.92	$20.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $25.78 / $67.89	Professional		$20.63	$25.78	$67.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $121.41 / $339.50	Facility		$42.58	$121.41	$339.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $66.56 / $66.56	Professional		$42.94	$66.56	$66.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $95.31 / $143.68	Facility		$38.75	$95.31	$143.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $97.42 / $195.33	Professional		$28.38	$97.42	$195.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56