Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $115.56	Professional		$89.00	$89.00	$115.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $134.93 / $136.28	Professional		$122.66	$134.93	$136.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $153.52 / $153.52	Facility		$90.28	$153.52	$153.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $153.52 / $236.72	Professional		$90.28	$153.52	$236.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $153.05 / $703.87	Facility		$80.09	$153.05	$703.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $69.62 / $116.04	Professional		$53.13	$69.62	$116.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.05 / $153.52 / $212.00	Facility		$153.05	$153.52	$212.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $181.43 / $316.25	Professional		$130.33	$181.43	$316.25
United Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $69.62 / $104.77	Professional		$53.13	$69.62	$104.77