Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $174.00	Facility		$139.19	$139.19	$174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $147.90	Professional		$139.19	$139.19	$147.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $201.84 / $264.48	Facility		$125.28	$201.84	$264.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $174.00	Professional		$145.00	$145.00	$174.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $174.15 / $174.15	Facility		$174.15	$174.15	$174.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $174.15 / $174.15	Professional		$174.15	$174.15	$174.15
United Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $145.00 / $174.00	Professional		$137.75	$145.00	$174.00