Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $99.90 / $99.90	Facility		$99.90	$99.90	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $109.37	Professional		$99.90	$99.90	$109.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $151.44 / $152.97	Professional		$137.68	$151.44	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $172.32 / $172.32	Facility		$88.85	$172.32	$172.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $172.32 / $265.70	Professional		$88.85	$172.32	$265.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $170.35 / $734.34	Facility		$78.87	$170.35	$734.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $78.15 / $152.97	Professional		$54.06	$78.15	$152.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.81 / $172.32 / $217.11	Facility		$171.81	$172.32	$217.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $203.65 / $355.00	Professional		$143.28	$203.65	$355.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $78.15 / $105.84	Professional		$56.66	$78.15	$105.84