Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $4,365.16	Facility		$79.43	$2,290.87	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $85.11	Professional		$57.54	$79.43	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $134.90	Facility		$75.86	$112.20	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $512.86	Professional		$75.86	$109.65	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $107.15	Professional		$93.33	$93.33	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $177.83	Professional		$83.18	$109.65	$177.83