Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $4,365.16	Facility		$93.33	$93.33	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $107.15	Professional		$81.28	$97.72	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $204.17	Professional		$144.54	$181.97	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $204.17	Facility		$95.50	$162.18	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $776.25	Professional		$89.13	$154.88	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $263.03	Professional		$100.00	$154.88	$263.03