Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $4,365.16	Facility		$933.25	$933.25	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $977.24	Professional		$630.96	$912.01	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $812.83	Professional		$660.69	$660.69	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,511.89	Facility		$891.25	$1,288.25	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $7,079.46	Professional		$891.25	$1,513.56	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,041.74	Professional		$1,202.26	$1,202.26	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,951.21	Professional		$912.01	$1,621.81	$2,951.21