Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Facility		$384.00	$384.00	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $408.00	Professional		$384.00	$384.00	$408.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $576.00 / $729.60	Facility		$384.00	$576.00	$729.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $494.40	Professional		$480.00	$480.00	$494.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Facility		$480.40	$480.40	$480.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Professional		$480.40	$480.40	$480.40
United Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $480.00 / $494.40	Professional		$456.00	$480.00	$494.40