Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.44 / $702.94 / $1,359.70	Facility		$534.44	$702.94	$1,359.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $98.49 / $169.02	Facility		$58.28	$98.49	$169.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $178.61 / $178.61	Professional		$178.61	$178.61	$178.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.06 / $210.17 / $210.17	Facility		$204.06	$210.17	$210.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $198.56 / $210.17	Professional		$185.30	$198.56	$210.17