Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $128.82	Facility		$112.20	$112.20	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $125.89	Facility		$95.50	$120.23	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Professional		$120.23	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $229.09	Facility		$112.20	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $275.42	Professional		$112.20	$181.97	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $446.68	Facility		$128.82	$199.53	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $741.31	Professional		$128.82	$128.82	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $354.81	Professional		$154.88	$213.80	$354.81
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 $269.15 / $323.59 / $354.81	Professional		$269.15	$323.59	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $467.74	Facility		$177.83	$295.12	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83