Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $281.84	Professional		$186.21	$218.78	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $380.19	Facility		$190.55	$190.55	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $588.84	Professional		$190.55	$398.11	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $371.54 / $1,621.81	Facility		$218.78	$371.54	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $338.84	Professional		$114.82	$169.82	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $851.14	Professional		$371.54	$478.63	$851.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $851.14	Professional		$478.63	$588.84	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $354.81	Facility		$117.49	$177.83	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $257.04	Professional		$114.82	$169.82	$257.04