Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $1,071.52	Professional		$100.00	$117.49	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $181.97	Professional		$162.18	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $208.93	Facility		$117.49	$117.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $354.81	Professional		$117.49	$245.47	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $1,000.00	Facility		$120.23	$208.93	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $186.21	Professional		$61.66	$93.33	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $467.74	Professional		$204.17	$257.04	$467.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $467.74	Professional		$257.04	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $213.80	Facility		$72.44	$109.65	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $144.54	Professional		$63.10	$93.33	$144.54