Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $874.26 / $874.26	Professional		$647.29	$874.26	$874.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $779.66 / $779.66 / $779.66	Facility		$779.66	$779.66	$779.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.75 / $1,068.75 / $1,335.94	Professional		$1,068.75	$1,068.75	$1,335.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $1,118.67 / $4,248.00	Facility		$94.69	$1,118.67	$4,248.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.67 / $641.33 / $713.40	Professional		$320.67	$641.33	$713.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.61 / $104.16 / $104.16	Facility		$86.61	$104.16	$104.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $108.25 / $205.93	Professional		$91.62	$108.25	$205.93
United Facility/Professional Professional Modifier Low / Median / High Price $319.56 / $464.84 / $892.77	Professional		$319.56	$464.84	$892.77