Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $147.55 / $147.55	Facility		$147.55	$147.55	$147.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $147.55 / $191.60	Professional		$147.55	$147.55	$191.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.36 / $223.69 / $225.96	Professional		$203.36	$223.69	$225.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $254.52 / $254.52	Facility		$166.23	$254.52	$254.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $254.52 / $392.48	Professional		$166.23	$254.52	$392.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.74 / $256.98 / $1,236.41	Facility		$128.74	$256.98	$1,236.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $115.43 / $192.39	Professional		$88.09	$115.43	$192.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.77 / $254.52 / $351.50	Facility		$253.77	$254.52	$351.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $305.05 / $524.34	Professional		$230.44	$305.05	$524.34
United Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $115.43 / $173.70	Professional		$88.09	$115.43	$173.70