Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $537.03	Professional		$60.26	$87.10	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Professional		$147.91	$147.91	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $1,318.26	Facility		$109.65	$165.96	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $4,897.79	Professional		$1,445.44	$1,445.44	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,445.44	Professional		$125.89	$275.42	$1,445.44