Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.46 / $87.46 / $2,290.00	Facility		$87.46	$87.46	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $87.46 / $87.46	Professional		$83.24	$87.46	$87.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $113.25 / $141.56	Professional		$113.25	$113.25	$141.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $144.41 / $234.13	Facility		$105.71	$144.41	$234.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $176.04 / $666.32	Professional		$93.96	$176.04	$666.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $122.39 / $164.96	Facility		$102.93	$122.39	$164.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $134.60 / $237.69	Professional		$117.48	$134.60	$237.69
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 $88.63 / $158.87 / $247.13	Professional		$88.63	$158.87	$247.13