Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $58.01 / $58.01	Facility		$58.01	$58.01	$58.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $58.01 / $58.01	Professional		$45.27	$58.01	$58.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.60 / $75.00	Professional		$60.00	$60.60	$75.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $90.54 / $276.00	Facility		$62.10	$90.54	$276.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $307.25 / $1,311.00	Professional		$276.00	$307.25	$1,311.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $72.06 / $98.25	Facility		$62.10	$72.06	$98.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $71.19 / $98.25	Professional		$62.10	$71.19	$98.25
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $276.00 / $364.32	Professional		$276.00	$276.00	$364.32