Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $1,000.00	Professional		$104.71	$131.83	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $190.55	Professional		$169.82	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $218.78	Facility		$123.03	$123.03	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $371.54	Professional		$123.03	$223.87	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $1,000.00	Facility		$125.89	$218.78	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $194.98	Professional		$64.57	$97.72	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $489.78	Professional		$213.80	$213.80	$489.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $489.78	Professional		$269.15	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $223.87	Facility		$74.13	$112.20	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $151.36	Professional		$64.57	$97.72	$151.36