Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $912.01	Professional		$93.33	$114.82	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $177.83	Professional		$158.49	$173.78	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $204.17	Facility		$112.20	$112.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $338.84	Professional		$112.20	$239.88	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $912.01	Facility		$114.82	$204.17	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $181.97	Professional		$60.26	$112.20	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $457.09	Professional		$199.53	$251.19	$457.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $457.09	Professional		$251.19	$338.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $204.17	Facility		$79.43	$131.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $141.25	Professional		$69.18	$91.20	$141.25