Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Facility		$109.65	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $151.36	Professional		$109.65	$109.65	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $123.03	Facility		$93.33	$117.49	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $123.03	Professional		$117.49	$117.49	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $229.09	Facility		$109.65	$208.93	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $316.23	Professional		$109.65	$208.93	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $263.03	Facility		$128.82	$154.88	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $457.09	Professional		$128.82	$128.82	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $398.11	Professional		$154.88	$245.47	$398.11
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 $302.00 / $323.59 / $398.11	Professional		$302.00	$323.59	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $549.54	Facility		$204.17	$338.84	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $1,659.59	Professional		$125.89	$204.17	$1,659.59