Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.96 / $189.96 / $189.96	Facility		$189.96	$189.96	$189.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $189.96 / $189.96	Professional		$184.29	$189.96	$189.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $490.78	Professional		$392.63	$392.63	$490.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $252.04 / $368.58	Facility		$26.76	$252.04	$368.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $59.58 / $1,402.96	Professional		$26.68	$59.58	$1,402.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $262.47 / $437.04	Facility		$181.74	$262.47	$437.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $278.02 / $351.68	Professional		$252.82	$278.02	$351.68
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 $40.01 / $62.24 / $475.65	Professional		$40.01	$62.24	$475.65