Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $58.30	Professional		$53.00	$53.00	$58.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $60.00 / $60.00	Facility		$51.00	$60.00	$60.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $60.00	Professional		$57.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $118.93 / $343.15	Professional		$53.00	$118.93	$343.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $90.10 / $663.00	Facility		$53.00	$90.10	$663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $965.94	Professional		$53.00	$53.00	$965.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $118.93 / $152.63	Facility		$87.74	$118.93	$152.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $115.45 / $211.04	Professional		$63.60	$115.45	$211.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $53.00 / $79.50	Professional		$50.35	$53.00	$79.50