Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $87.84 / $87.84	Facility		$87.84	$87.84	$87.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $91.48 / $91.48	Professional		$87.84	$91.48	$91.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $136.91 / $169.57	Facility		$93.56	$136.91	$169.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $159.12 / $522.04	Professional		$97.09	$159.12	$522.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $119.56 / $174.61	Facility		$108.04	$119.56	$174.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $174.61	Professional		$119.56	$119.56	$174.61
United Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $154.82 / $179.78	Professional		$103.21	$154.82	$179.78