Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.30 / $323.30 / $323.30	Facility		$323.30	$323.30	$323.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.30 / $323.30 / $341.87	Professional		$323.30	$323.30	$341.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $452.95 / $468.75	Professional		$375.00	$452.95	$468.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.87 / $546.38 / $936.72	Facility		$488.87	$546.38	$936.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.43 / $634.60 / $2,665.20	Professional		$374.43	$634.60	$2,665.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.10 / $498.11 / $576.79	Facility		$411.10	$498.11	$576.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $452.95 / $498.11 / $660.04	Professional		$452.95	$498.11	$660.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.43 / $634.60 / $892.50	Professional		$374.43	$634.60	$892.50