Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $97.84 / $97.84	Facility		$97.84	$97.84	$97.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $97.84 / $99.69	Professional		$90.62	$97.84	$99.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $148.33 / $149.83	Professional		$134.84	$148.33	$149.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $168.77 / $168.77	Facility		$97.79	$168.77	$168.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $168.77 / $260.22	Professional		$97.79	$168.77	$260.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $168.26 / $804.59	Facility		$88.70	$168.26	$804.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $76.54 / $127.56	Professional		$58.01	$76.54	$127.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $168.77 / $229.25	Facility		$168.26	$168.77	$229.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $202.27 / $347.66	Professional		$152.80	$202.27	$347.66
United Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $74.61 / $116.01	Facility		$56.84	$74.61	$116.01
United Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $76.54 / $116.01	Professional		$55.49	$76.54	$116.01