Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $130.11	Facility		$109.44	$109.44	$130.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $120.38	Professional		$109.44	$109.44	$120.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $123.89 / $123.89	Facility		$105.31	$123.89	$123.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $123.89 / $147.30	Professional		$117.70	$123.89	$147.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $280.50 / $325.27	Professional		$109.44	$280.50	$325.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.10 / $188.66 / $247.21	Facility		$117.10	$188.66	$247.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $130.11 / $1,668.00	Professional		$130.11	$130.11	$1,668.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $247.78 / $397.72	Facility		$156.13	$247.78	$397.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $247.78 / $397.72	Professional		$156.13	$247.78	$397.72
United Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $109.44 / $164.16	Professional		$103.97	$109.44	$164.16