Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $167.65 / $167.65	Facility		$167.65	$167.65	$167.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $167.65 / $178.13	Professional		$167.65	$167.65	$178.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $243.09 / $318.54	Facility		$167.65	$243.09	$318.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $223.19	Professional		$202.90	$202.90	$223.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.93 / $207.93 / $207.93	Facility		$207.93	$207.93	$207.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $207.93 / $207.93	Professional		$207.93	$207.93	$207.93
United Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $202.90 / $202.90	Professional		$192.76	$202.90	$202.90