Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $115.45 / $115.45	Facility		$115.45	$115.45	$115.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $115.45 / $136.12	Professional		$115.45	$115.45	$136.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $175.02 / $176.78	Professional		$159.11	$175.02	$176.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $199.13 / $199.13	Facility		$113.00	$199.13	$199.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $199.13 / $339.38	Professional		$113.00	$199.13	$339.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.91 / $198.55 / $917.84	Facility		$103.91	$198.55	$917.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $115.66 / $150.53	Professional		$68.92	$115.66	$150.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.55 / $199.13 / $266.75	Facility		$198.55	$199.13	$266.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $235.34 / $410.27	Professional		$177.00	$235.34	$410.27
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $90.32 / $135.00	Professional		$68.92	$90.32	$135.00