Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $168.87 / $168.87	Professional		$168.87	$168.87	$168.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $175.09 / $184.30	Professional		$162.18	$175.09	$184.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $176.19	Facility		$112.00	$112.73	$176.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $161.94 / $260.32	Professional		$112.73	$161.94	$260.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $168.87 / $955.82	Facility		$25.18	$168.87	$955.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $93.41 / $167.23	Professional		$51.04	$93.41	$167.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.23 / $47.65	Facility		$25.05	$25.23	$47.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $31.15 / $59.64	Professional		$25.23	$31.15	$59.64
United Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $89.91 / $162.06	Professional		$51.04	$89.91	$162.06