Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $87.41 / $87.41	Facility		$87.41	$87.41	$87.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $87.41 / $103.07	Professional		$87.41	$87.41	$103.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $132.52 / $133.86	Professional		$120.47	$132.52	$133.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $150.78 / $150.78	Facility		$68.84	$150.78	$150.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $150.78 / $232.52	Professional		$143.63	$150.78	$232.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $148.60 / $584.39	Facility		$68.68	$148.60	$584.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $73.28 / $113.98	Professional		$52.19	$73.28	$113.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $150.78 / $189.98	Facility		$150.35	$150.78	$189.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $176.13 / $310.64	Professional		$123.50	$176.13	$310.64
United Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $72.63 / $87.57	Professional		$49.67	$72.63	$87.57