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 $15.28 / $408.90 / $455.90	Professional		$15.28	$408.90	$455.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $318.39 / $698.44	Professional		$38.18	$318.39	$698.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $106.42 / $715.58	Facility		$52.50	$106.42	$715.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $25.82 / $371.76	Professional		$18.80	$25.82	$371.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.12 / $113.07	Facility		$56.79	$58.12	$113.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $69.09 / $131.02	Professional		$56.79	$69.09	$131.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $24.24 / $490.49	Professional		$18.80	$24.24	$490.49