Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.60 / $413.60 / $4,338.00	Facility		$413.60	$413.60	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $413.60 / $413.60	Professional		$404.46	$413.60	$413.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.35 / $793.35 / $793.35	Professional		$793.35	$793.35	$793.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.38 / $683.54 / $1,108.22	Facility		$578.38	$683.54	$1,108.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.07 / $1,201.22 / $2,946.67	Professional		$707.07	$1,201.22	$2,946.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $486.56 / $872.42 / $21,443.99	Facility		$486.56	$872.42	$21,443.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $780.84 / $793.35 / $1,010.23	Professional		$780.84	$793.35	$1,010.23
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 $669.32 / $1,686.47 / $1,686.47	Professional		$669.32	$1,686.47	$1,686.47