Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $24.02	Facility		$24.02	$24.02	$24.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.02 / $25.01	Professional		$17.03	$24.02	$25.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $40.59 / $68.53	Facility		$33.06	$40.59	$68.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $45.16 / $153.85	Professional		$26.37	$45.16	$153.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $32.71 / $47.73	Facility		$29.16	$32.71	$47.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $32.71 / $47.73	Professional		$32.71	$32.71	$47.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $45.16 / $53.13	Professional		$25.19	$45.16	$53.13