Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $151.55 / $151.55	Professional		$151.55	$151.55	$151.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $160.55 / $169.00	Professional		$148.72	$160.55	$169.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $151.38	Facility		$64.17	$64.17	$151.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $139.05 / $223.52	Professional		$64.17	$139.05	$223.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $151.55 / $821.30	Facility		$21.85	$151.55	$821.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $92.67 / $165.89	Professional		$43.83	$92.67	$165.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $22.01 / $41.56	Facility		$21.85	$22.01	$41.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $27.18 / $52.03	Professional		$22.01	$27.18	$52.03
United Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $89.19 / $154.06	Professional		$62.45	$89.19	$154.06