Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $707.95	Professional		$60.26	$77.62	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $120.23	Professional		$107.15	$117.49	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $138.04	Facility		$89.13	$89.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $234.42	Professional		$89.13	$158.49	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $645.65	Facility		$77.62	$138.04	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $128.82	Professional		$40.74	$75.86	$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 $79.43 / $91.20 / $141.25	Facility		$79.43	$91.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $95.50	Professional		$46.77	$61.66	$95.50