Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.42 / $126.42 / $126.42	Facility		$126.42	$126.42	$126.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $126.42 / $149.06	Professional		$126.42	$126.42	$149.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $191.65 / $193.59	Professional		$174.22	$191.65	$193.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $218.06 / $218.06	Facility		$120.62	$218.06	$218.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $218.06 / $336.25	Professional		$120.62	$218.06	$336.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $201.65 / $927.48	Facility		$85.93	$201.65	$927.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $118.35 / $164.83	Professional		$75.47	$118.35	$164.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.42 / $218.06 / $274.74	Facility		$217.42	$218.06	$274.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $257.70 / $449.24	Professional		$195.00	$257.70	$449.24
United Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $98.90 / $159.58	Professional		$75.47	$98.90	$159.58