Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $331.13	Professional		$38.90	$48.98	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $75.86	Professional		$67.61	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $134.90	Professional		$61.66	$91.20	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $338.84	Facility		$50.12	$85.11	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $77.62	Professional		$25.70	$46.77	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $194.98	Professional		$85.11	$107.15	$194.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $194.98	Professional		$107.15	$134.90	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $81.28	Facility		$45.71	$52.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $58.88	Professional		$28.84	$38.90	$58.88