Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.57 / $453.57 / $3,511.00	Facility		$453.57	$453.57	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $453.57 / $453.57	Professional		$443.60	$453.57	$453.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.32 / $634.32 / $690.11	Professional		$634.32	$634.32	$690.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.35 / $749.68 / $1,215.46	Facility		$634.35	$749.68	$1,215.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $531.99 / $902.34 / $3,458.40	Professional		$531.99	$902.34	$3,458.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $533.17 / $697.55 / $809.81	Facility		$533.17	$697.55	$809.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $634.32 / $697.55 / $856.45	Professional		$634.32	$697.55	$856.45
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 $541.40 / $993.34 / $1,266.75	Professional		$541.40	$993.34	$1,266.75