Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.83 / $70.83 / $70.83	Facility		$70.83	$70.83	$70.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $70.83 / $70.83	Professional		$70.83	$70.83	$70.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $107.39 / $108.47	Professional		$97.62	$107.39	$108.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $122.18 / $122.18	Facility		$53.85	$122.18	$122.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $122.18 / $188.41	Professional		$53.85	$122.18	$188.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.83 / $120.59 / $456.49	Facility		$70.83	$120.59	$456.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $55.42 / $86.94	Professional		$37.10	$55.42	$86.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $122.18 / $153.94	Facility		$121.82	$122.18	$153.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $144.38 / $249.86	Professional		$110.64	$144.38	$249.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $53.96 / $67.45	Professional		$37.10	$53.96	$67.45