Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $92.88 / $92.88	Facility		$92.88	$92.88	$92.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $92.88 / $120.61	Professional		$92.88	$92.88	$120.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $140.81 / $142.22	Professional		$128.00	$140.81	$142.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $160.19 / $160.19	Facility		$81.70	$160.19	$160.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $160.19 / $247.04	Professional		$81.70	$160.19	$247.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $159.41 / $681.55	Facility		$73.34	$159.41	$681.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $72.66 / $121.10	Professional		$50.26	$72.66	$121.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $160.19 / $201.85	Facility		$159.74	$160.19	$201.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $189.33 / $330.06	Professional		$143.00	$189.33	$330.06
United Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $72.66 / $100.51	Professional		$52.68	$72.66	$100.51