Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $83.65 / $83.65	Facility		$83.65	$83.65	$83.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $83.65 / $249.20	Professional		$83.65	$83.65	$249.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $126.81 / $128.09	Professional		$115.29	$126.81	$128.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $144.29 / $144.29	Facility		$104.66	$144.29	$144.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $144.29 / $222.50	Professional		$104.66	$144.29	$222.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $142.21 / $613.91	Facility		$66.05	$142.21	$613.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $77.65 / $109.07	Professional		$49.94	$77.65	$109.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $144.29 / $181.82	Facility		$143.87	$144.29	$181.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $170.52 / $297.27	Professional		$129.00	$170.52	$297.27
United Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $65.44 / $90.54	Professional		$49.94	$65.44	$90.54