Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Facility		$39.90	$39.90	$39.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $40.90	Professional		$39.90	$39.90	$40.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $67.45 / $69.14	Facility		$58.50	$67.45	$69.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $79.45 / $311.68	Professional		$47.35	$79.45	$311.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $53.48 / $65.08	Facility		$48.33	$53.48	$65.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $65.08 / $215.43	Professional		$53.48	$65.08	$215.43
United Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $83.88 / $88.26	Professional		$50.21	$83.88	$88.26