Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $96.75 / $96.75	Facility		$96.75	$96.75	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $102.80	Professional		$96.75	$96.75	$102.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $140.29 / $183.83	Facility		$96.75	$140.29	$183.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $121.02	Professional		$100.78	$100.78	$121.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Facility		$130.72	$130.72	$130.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $130.72 / $130.72	Professional		$130.72	$130.72	$130.72
United Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $100.78 / $110.86	Professional		$95.74	$100.78	$110.86