Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $197.24 / $2,290.00	Facility		$197.24	$197.24	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $197.24 / $206.25	Professional		$197.24	$197.24	$206.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $254.52 / $315.00	Professional		$252.00	$254.52	$315.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.94 / $333.34 / $565.13	Facility		$294.94	$333.34	$565.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.57 / $396.58 / $1,501.76	Professional		$233.57	$396.58	$1,501.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.12 / $331.80 / $3,533.41	Facility		$248.12	$331.80	$3,533.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.76 / $287.87 / $371.91	Professional		$261.76	$287.87	$371.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $381.33 / $556.78	Professional		$237.95	$381.33	$556.78