Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $121.85 / $2,290.00	Facility		$121.85	$121.85	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $121.85 / $617.16	Professional		$121.85	$121.85	$617.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.41 / $35.15	Professional		$28.13	$28.41	$35.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $886.55 / $1,643.00	Facility		$196.02	$886.55	$1,643.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $284.20 / $4,471.30	Professional		$159.24	$284.20	$4,471.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $226.96 / $931.06	Facility		$119.68	$226.96	$931.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $119.68 / $226.96	Professional		$51.23	$119.68	$226.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $289.52 / $405.33	Professional		$173.71	$289.52	$405.33