Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $86.77 / $2,290.00	Facility		$86.77	$86.77	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $86.77 / $90.90	Professional		$82.59	$86.77	$90.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $109.08 / $135.00	Professional		$108.00	$109.08	$135.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $153.62 / $631.58	Facility		$104.22	$153.62	$631.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $166.18 / $708.56	Professional		$89.98	$166.18	$708.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.24 / $165.76 / $220.65	Facility		$109.24	$165.76	$220.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $185.50 / $220.65	Professional		$165.76	$185.50	$220.65
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 $91.40 / $166.18 / $234.42	Professional		$91.40	$166.18	$234.42