Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $162.08 / $162.08	Professional		$137.77	$162.08	$162.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.15 / $239.15 / $298.94	Facility		$239.15	$239.15	$298.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $181.16 / $224.20	Professional		$179.36	$181.16	$224.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $246.52 / $276.64	Facility		$162.08	$246.52	$276.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $178.29	Professional		$162.08	$162.08	$178.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.74 / $203.74 / $203.74	Facility		$203.74	$203.74	$203.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $203.74 / $203.74	Professional		$105.39	$203.74	$203.74
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $178.29	Professional		$162.08	$162.08	$178.29