Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.72 / $214.72 / $214.72	Facility		$214.72	$214.72	$214.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $214.72 / $239.40	Professional		$118.46	$214.72	$239.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $147.10 / $318.75	Professional		$107.38	$147.10	$318.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $170.29 / $761.52	Facility		$28.64	$170.29	$761.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.72 / $129.47	Professional		$9.86	$14.72	$129.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $34.03 / $61.22	Facility		$33.79	$34.03	$61.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $40.70 / $80.44	Professional		$33.79	$40.70	$80.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.26 / $44.53	Professional		$9.86	$12.26	$44.53