Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.72 / $102.72 / $102.72	Facility		$102.72	$102.72	$102.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $102.72 / $133.38	Professional		$102.72	$102.72	$133.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $133.13 / $134.47	Professional		$121.03	$133.13	$134.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $198.95 / $198.95	Facility		$133.72	$198.95	$198.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $198.95 / $373.89	Professional		$133.72	$198.95	$373.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $174.62 / $620.42	Facility		$94.37	$174.62	$620.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $109.97 / $172.53	Professional		$66.15	$109.97	$172.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.95 / $199.92 / $303.00	Facility		$198.95	$199.92	$303.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $237.98 / $418.67	Professional		$198.95	$237.98	$418.67
United Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $109.97 / $147.00	Professional		$66.15	$109.97	$147.00