Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.84 / $93.84 / $93.84	Facility		$93.84	$93.84	$93.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $93.84 / $98.27	Professional		$89.30	$93.84	$98.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $116.66 / $144.38	Professional		$115.50	$116.66	$144.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $161.51 / $202.80	Facility		$45.90	$161.51	$202.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $180.24 / $766.32	Professional		$97.38	$180.24	$766.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $179.36 / $239.53	Facility		$117.94	$179.36	$239.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $199.94 / $239.53	Professional		$179.36	$199.94	$239.53
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $166.72 / $254.24	Professional		$99.13	$166.72	$254.24