Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $183.29 / $232.25	Facility		$84.06	$183.29	$232.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $105.07	Professional		$84.06	$84.06	$105.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $89.31 / $94.22	Professional		$75.38	$89.31	$94.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $126.09 / $159.71	Facility		$84.06	$126.09	$159.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $97.47 / $399.27	Professional		$87.56	$97.47	$399.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $156.03 / $209.53	Facility		$0.90	$156.03	$209.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $119.27 / $119.27	Professional		$119.27	$119.27	$119.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $104.20	Professional		$87.56	$87.56	$104.20