Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $49.65 / $49.65	Facility		$49.65	$49.65	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $49.65 / $58.54	Professional		$49.65	$49.65	$58.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $75.26 / $76.03	Professional		$68.43	$75.26	$76.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $85.64 / $85.64	Facility		$50.36	$85.64	$85.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $85.64 / $132.05	Professional		$50.36	$85.64	$132.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $85.22 / $404.35	Facility		$44.69	$85.22	$404.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $49.73 / $64.73	Professional		$29.64	$49.73	$64.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $85.64 / $118.28	Facility		$85.38	$85.64	$118.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $102.64 / $176.44	Professional		$77.54	$102.64	$176.44
United Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $38.84 / $59.85	Professional		$29.64	$38.84	$59.85