Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $4,922.54	Facility		$1,760.00	$1,760.00	$4,922.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,760.00 / $1,870.00	Professional		$1,760.00	$1,760.00	$1,870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $2,640.00 / $3,344.00	Facility		$1,760.00	$2,640.00	$3,344.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,566.67	Professional		$2,200.00	$2,200.00	$2,566.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,642.18 / $2,642.18 / $2,642.18	Facility		$2,642.18	$2,642.18	$2,642.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,642.18 / $2,642.18 / $2,642.18	Professional		$2,642.18	$2,642.18	$2,642.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,200.00 / $2,566.67	Professional		$2,090.00	$2,200.00	$2,566.67