Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $92.12 / $2,290.00	Facility		$92.12	$92.12	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $92.12 / $92.12	Professional		$90.24	$92.12	$92.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $85.13 / $106.41	Professional		$85.13	$85.13	$106.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $124.47 / $180.48	Facility		$75.31	$124.47	$180.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $146.19 / $703.44	Professional		$65.36	$146.19	$703.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $163.95 / $258.44	Facility		$108.45	$163.95	$258.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $155.86 / $180.30	Professional		$136.24	$155.86	$180.30
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 $65.36 / $130.54 / $203.06	Professional		$65.36	$130.54	$203.06