Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $1,621.81	Professional		$158.49	$199.53	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $302.00	Professional		$275.42	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $346.74	Facility		$263.03	$263.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $588.84	Professional		$263.03	$407.38	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $1,659.59	Facility		$199.53	$346.74	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $331.13	Professional		$104.71	$194.98	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $346.74 / $776.25	Professional		$338.84	$346.74	$776.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $776.25	Professional		$436.52	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $354.81	Facility		$186.21	$229.09	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $245.47	Professional		$120.23	$154.88	$245.47