Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $23.99	Facility		$16.98	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $25.70	Professional		$16.98	$23.99	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $69.18	Facility		$25.12	$38.02	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $154.88	Professional		$23.99	$38.02	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $53.70	Professional		$24.55	$36.31	$53.70