Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.90 / $408.90 / $408.90	Facility		$408.90	$408.90	$408.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $408.90 / $455.90	Professional		$167.31	$408.90	$455.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $558.75 / $698.44	Professional		$66.81	$558.75	$698.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $80.00 / $715.58	Facility		$28.64	$80.00	$715.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $24.24 / $73.93	Professional		$16.16	$24.24	$73.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.12 / $113.06	Facility		$56.79	$58.12	$113.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $70.27 / $131.02	Professional		$56.79	$70.27	$131.02
United Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $24.24 / $51.31	Professional		$16.16	$24.24	$51.31