Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $318.75	Facility		$318.75	$318.75	$318.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $400.04 / $400.04	Professional		$318.75	$400.04	$400.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $1,520.00 / $1,520.00	Facility		$1,520.00	$1,520.00	$1,520.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.81 / $676.07 / $802.75	Facility		$455.81	$676.07	$802.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.11 / $349.11 / $1,001.61	Facility		$289.11	$349.11	$1,001.61