Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $97.69 / $97.69	Facility		$97.69	$97.69	$97.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $97.69 / $126.85	Professional		$97.69	$97.69	$126.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $125.83 / $127.09	Professional		$114.39	$125.83	$127.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $190.12 / $190.12	Facility		$52.17	$190.12	$190.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $186.38 / $359.88	Professional		$52.17	$186.38	$359.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $166.07 / $580.79	Facility		$58.82	$166.07	$580.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $105.85 / $174.84	Professional		$70.56	$105.85	$174.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.12 / $191.04 / $259.23	Facility		$190.12	$191.04	$259.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $227.35 / $399.85	Professional		$191.04	$227.35	$399.85
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $105.85 / $156.97	Professional		$70.56	$105.85	$156.97