Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $676.08	Professional		$64.57	$79.43	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $120.23	Professional		$109.65	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $138.04	Facility		$74.13	$74.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $223.87	Professional		$74.13	$141.25	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $138.04 / $616.60	Facility		$79.43	$138.04	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $128.82	Professional		$41.69	$61.66	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $309.03	Professional		$134.90	$134.90	$309.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $309.03	Professional		$169.82	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $134.90	Facility		$44.67	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $97.72	Professional		$41.69	$61.66	$97.72