Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $269.15	Professional		$33.88	$38.90	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $61.66	Professional		$54.95	$60.26	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $70.79	Facility		$34.67	$34.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $72.44 / $107.15	Professional		$34.67	$72.44	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $295.12	Facility		$39.81	$67.61	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $63.10	Professional		$20.89	$30.90	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $154.88	Professional		$69.18	$69.18	$154.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $154.88	Professional		$87.10	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $32.36 / $64.57	Facility		$21.38	$32.36	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $46.77	Professional		$20.89	$30.90	$46.77