Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Facility		$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $161.50	Professional		$152.00	$152.00	$161.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $74.63 / $74.63	Facility		$63.44	$74.63	$74.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $74.62 / $74.62	Professional		$70.90	$74.62	$74.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $152.53 / $204.27	Professional		$80.84	$152.53	$204.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $228.00 / $288.80	Facility		$136.80	$228.00	$288.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $177.60	Professional		$167.51	$167.51	$177.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $152.53 / $204.27	Facility		$82.86	$152.53	$204.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $152.53 / $204.27	Professional		$82.86	$152.53	$204.27
United Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $167.51 / $177.60	Professional		$159.13	$167.51	$177.60