Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $93.11	Facility		$89.41	$89.41	$93.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $98.35	Professional		$89.41	$89.41	$98.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.04 / $101.22 / $101.22	Facility		$86.04	$101.22	$101.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $101.22 / $105.41	Professional		$96.15	$101.22	$105.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $110.44 / $141.72	Professional		$89.41	$110.44	$141.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $153.63 / $193.80	Facility		$86.52	$153.63	$193.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.11 / $225.11	Professional		$92.03	$93.11	$225.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $110.44 / $141.72	Facility		$99.38	$110.44	$141.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $111.73 / $141.72	Professional		$99.38	$111.73	$141.72
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $89.41 / $225.11	Professional		$84.94	$89.41	$225.11