Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $1,047.13	Professional		$100.00	$125.89	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $190.55	Professional		$173.78	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Facility		$112.20	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $346.74	Professional		$112.20	$257.04	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $954.99	Facility		$125.89	$218.78	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $194.98	Professional		$66.07	$97.72	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $489.78	Professional		$213.80	$275.42	$489.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $489.78	Professional		$275.42	$346.74	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $208.93	Facility		$69.18	$107.15	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $147.91	Professional		$66.07	$97.72	$147.91