Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.95 / $203.95 / $203.95	Facility		$203.95	$203.95	$203.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $181.85 / $203.95	Professional		$181.85	$181.85	$203.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.23 / $320.42 / $383.00	Facility		$261.23	$320.42	$383.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $205.11 / $1,293.17	Professional		$133.04	$205.11	$1,293.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $182.60 / $373.77	Facility		$99.80	$182.60	$373.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $157.69 / $373.77	Professional		$143.40	$157.69	$373.77
United Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $205.11 / $223.19	Professional		$127.82	$205.11	$223.19