Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $153.00	Professional		$144.00	$144.00	$153.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $216.00 / $273.60	Facility		$144.00	$216.00	$273.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $198.00	Professional		$180.00	$180.00	$198.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $216.18 / $216.18	Facility		$216.18	$216.18	$216.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $216.18 / $216.18	Professional		$216.18	$216.18	$216.18
United Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $190.80 / $297.00	Facility		$190.80	$190.80	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $180.00 / $180.00	Professional		$171.00	$180.00	$180.00