Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $616.60	Professional		$79.43	$91.20	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $141.25	Professional		$128.82	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Facility		$81.28	$81.28	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $251.19	Professional		$81.28	$169.82	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $162.18 / $676.08	Facility		$93.33	$162.18	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $147.91	Professional		$48.98	$72.44	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $363.08	Professional		$158.49	$158.49	$363.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $363.08	Professional		$204.17	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $77.62 / $151.36	Facility		$50.12	$77.62	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $114.82	Professional		$48.98	$72.44	$114.82