Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $66.65 / $66.65	Facility		$66.65	$66.65	$66.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $66.65 / $86.55	Professional		$66.65	$66.65	$86.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $101.05 / $102.06	Professional		$91.85	$101.05	$102.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $114.97 / $114.97	Facility		$67.95	$114.97	$114.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $114.97 / $177.30	Professional		$67.95	$114.97	$177.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $113.31 / $489.15	Facility		$52.36	$113.31	$489.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $52.15 / $86.91	Professional		$35.47	$52.15	$86.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.64 / $114.97 / $144.86	Facility		$114.64	$114.97	$144.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $135.88 / $236.86	Professional		$95.60	$135.88	$236.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $52.15 / $70.63	Professional		$36.07	$52.15	$70.63