Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $812.83	Professional		$83.18	$100.00	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $151.36	Professional		$138.04	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $173.78	Facility		$117.49	$117.49	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $288.40	Professional		$117.49	$204.17	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.83 / $794.33	Facility		$100.00	$177.83	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $158.49	Professional		$51.29	$77.62	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $389.05	Professional		$169.82	$213.80	$389.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $389.05	Professional		$213.80	$288.40	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $89.13 / $173.78	Facility		$57.54	$89.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $123.03	Professional		$51.29	$77.62	$123.03