Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Facility		$122.70	$122.70	$122.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $122.70 / $122.70	Professional		$101.84	$122.70	$122.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $110.25 / $137.81	Professional		$110.25	$110.25	$137.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $186.63 / $302.58	Facility		$31.82	$186.63	$302.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $122.70 / $134.97	Professional		$26.52	$122.70	$134.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $34.14 / $154.21	Facility		$31.82	$34.14	$154.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $50.36 / $154.21	Professional		$28.51	$50.36	$154.21
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $134.97	Professional		$122.70	$122.70	$134.97