Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $127.50	Professional		$120.00	$120.00	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $180.00 / $228.00	Facility		$120.00	$180.00	$228.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $162.13 / $162.13	Facility		$162.13	$162.13	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $162.13 / $162.13	Professional		$162.13	$162.13	$162.13
United Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $154.50	Professional		$142.50	$150.00	$154.50