Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.42 / $106.42 / $106.42	Facility		$106.42	$106.42	$106.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $106.42 / $138.18	Professional		$106.42	$106.42	$138.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $161.33 / $162.96	Professional		$146.66	$161.33	$162.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $183.56 / $183.56	Facility		$112.36	$183.56	$183.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $183.56 / $283.05	Professional		$112.36	$183.56	$283.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $180.91 / $701.53	Facility		$83.61	$180.91	$701.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $83.25 / $138.75	Professional		$55.50	$83.25	$138.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.01 / $183.56 / $231.27	Facility		$183.01	$183.56	$231.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $214.42 / $378.15	Professional		$150.34	$214.42	$378.15
United Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $80.23 / $103.93	Professional		$55.50	$80.23	$103.93