Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.93 / $106.93 / $106.93	Facility		$106.93	$106.93	$106.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $106.93 / $113.17	Professional		$106.93	$106.93	$113.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $130.50 / $163.13	Professional		$103.88	$130.50	$163.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $162.57 / $2,714.00	Facility		$141.87	$162.57	$2,714.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $146.76 / $315.70	Professional		$89.22	$146.76	$315.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $174.37 / $2,125.04	Facility		$147.88	$174.37	$2,125.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $174.37 / $595.99	Professional		$147.88	$174.37	$595.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $302.17 / $315.70	Professional		$127.33	$302.17	$315.70