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 $304.52 / $368.69 / $437.42	Facility		$304.52	$368.69	$437.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $434.31 / $1,293.17	Professional		$277.33	$434.31	$1,293.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.99 / $327.16 / $386.24	Facility		$227.99	$327.16	$386.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.31 / $333.56 / $386.24	Professional		$303.31	$333.56	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $422.57 / $469.52	Professional		$258.24	$422.57	$469.52