Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $111.85 / $111.85	Facility		$111.85	$111.85	$111.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $108.71 / $111.85	Professional		$103.40	$108.71	$111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.39 / $48.75	Professional		$39.00	$39.39	$48.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.46 / $183.72 / $297.87	Facility		$155.46	$183.72	$297.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.33 / $294.54 / $746.58	Professional		$166.33	$294.54	$746.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.57 / $181.26 / $209.91	Facility		$119.57	$181.26	$209.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $181.26 / $209.91	Professional		$164.83	$181.26	$209.91
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 $166.33 / $286.58 / $445.79	Professional		$166.33	$286.58	$445.79