Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $34.96 / $34.96	Facility		$34.96	$34.96	$34.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $34.96 / $34.96	Professional		$33.86	$34.96	$34.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $48.65 / $92.80	Facility		$45.83	$48.65	$92.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $216.40 / $348.77	Professional		$143.26	$216.40	$348.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $208.61 / $255.08	Facility		$39.65	$208.61	$255.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $208.61 / $255.08	Professional		$71.42	$208.61	$255.08
United Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $200.33 / $332.16	Professional		$41.15	$200.33	$332.16