Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $1,318.26	Professional		$151.36	$173.78	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $269.15	Professional		$239.88	$263.03	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Facility		$190.55	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $501.19	Professional		$190.55	$346.74	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $1,348.96	Facility		$173.78	$309.03	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $288.40	Professional		$91.20	$138.04	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $691.83	Professional		$302.00	$302.00	$691.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $691.83	Professional		$380.19	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $302.00	Facility		$100.00	$151.36	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $204.17	Professional		$91.20	$138.04	$204.17