Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $2,290.00	Facility		$72.20	$72.20	$2,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $72.20 / $72.20	Professional		$68.70	$72.20	$72.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $119.70 / $194.07	Facility		$88.54	$119.70	$194.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $153.38 / $552.16	Professional		$81.72	$153.38	$552.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $111.52 / $136.72	Facility		$85.15	$111.52	$136.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $111.52 / $136.72	Professional		$101.40	$111.52	$136.72
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 $84.36 / $138.44 / $215.35	Professional		$84.36	$138.44	$215.35