Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $741.31	Professional		$95.50	$112.20	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $173.78	Professional		$154.88	$169.82	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Facility		$120.23	$120.23	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $323.59	Professional		$120.23	$213.80	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $870.96	Facility		$112.20	$194.98	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $181.97	Professional		$58.88	$87.10	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $436.52	Professional		$194.98	$245.47	$436.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $436.52	Professional		$245.47	$323.59	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $194.98	Facility		$64.57	$97.72	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $138.04	Professional		$58.88	$87.10	$138.04