Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $57.13	Facility		$45.70	$45.70	$57.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $48.56	Professional		$45.70	$45.70	$48.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $166.67 / $166.67	Facility		$141.66	$166.67	$166.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $166.66 / $166.66	Professional		$158.34	$166.66	$166.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $176.67 / $187.50	Professional		$48.56	$176.67	$187.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $77.69 / $329.77	Facility		$45.70	$77.69	$329.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $1,576.28 / $1,576.28	Professional		$57.13	$1,576.28	$1,576.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.51 / $176.67 / $202.47	Facility		$169.51	$176.67	$202.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $181.09 / $227.01	Professional		$169.51	$181.09	$227.01
United Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $57.13 / $57.13	Professional		$54.27	$57.13	$57.13