Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Facility		$77.62	$77.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $4,265.80	Facility		$75.86	$89.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $89.13	Professional		$83.18	$83.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $208.93 / $229.09	Facility		$77.62	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $128.82	Professional		$77.62	$85.11	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $165.96	Facility		$85.11	$102.33	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $100.00	Professional		$83.18	$85.11	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $128.82	Professional		$97.72	$100.00	$128.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Facility		$169.82	$208.93	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $213.80	Professional		$97.72	$128.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $218.78	Facility		$83.18	$138.04	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $125.89	Professional		$77.62	$83.18	$125.89