Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $113.85 / $113.85	Facility		$113.85	$113.85	$113.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $103.61 / $113.85	Professional		$96.03	$103.61	$113.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $211.46 / $264.33	Professional		$181.35	$211.46	$264.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $103.61 / $283.89	Facility		$49.77	$103.61	$283.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $111.24 / $626.73	Professional		$58.27	$111.24	$626.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $192.09 / $257.17	Facility		$147.66	$192.09	$257.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $192.09 / $257.17	Professional		$147.66	$192.09	$257.17
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $111.24 / $196.42	Professional		$63.56	$111.24	$196.42