Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $88.04	Professional		$80.04	$80.04	$88.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $90.61 / $90.61	Facility		$77.02	$90.61	$90.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $90.60 / $90.60	Professional		$86.07	$90.60	$90.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $123.26 / $749.21	Professional		$80.04	$123.26	$749.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $120.06 / $160.08	Facility		$77.84	$120.06	$160.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $589.20	Professional		$80.04	$80.04	$589.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.05 / $96.05 / $811.64	Facility		$96.05	$96.05	$811.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $96.05 / $936.51	Professional		$96.05	$96.05	$936.51
United Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $80.04 / $120.06	Professional		$76.04	$80.04	$120.06