Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $74.83 / $74.83	Facility		$74.83	$74.83	$74.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $74.83 / $74.83	Professional		$74.83	$74.83	$74.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $107.31 / $108.40	Professional		$97.56	$107.31	$108.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $171.09 / $241.60	Professional		$56.50	$171.09	$241.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.79 / $130.94 / $638.99	Facility		$68.79	$130.94	$638.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $71.56 / $122.88	Professional		$47.37	$71.56	$122.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $191.74 / $277.50	Facility		$147.05	$191.74	$277.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $213.10 / $301.99	Professional		$146.34	$213.10	$301.99
United Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $71.06 / $118.43	Professional		$47.37	$71.06	$118.43