Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $62.25 / $62.25	Facility		$62.25	$62.25	$62.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $62.25 / $80.83	Professional		$62.25	$62.25	$80.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $94.37 / $95.32	Professional		$85.79	$94.37	$95.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $107.38 / $107.38	Facility		$66.58	$107.38	$107.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $107.38 / $165.57	Professional		$66.58	$107.38	$165.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $105.83 / $456.72	Facility		$49.14	$105.83	$456.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $48.70 / $95.79	Professional		$33.68	$48.70	$95.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $107.38 / $135.29	Facility		$107.06	$107.38	$135.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $126.91 / $221.21	Professional		$96.00	$126.91	$221.21
United Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $48.70 / $65.95	Professional		$33.68	$48.70	$65.95