Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $118.95 / $118.95	Facility		$118.95	$118.95	$118.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $118.95 / $123.15	Professional		$101.27	$118.95	$123.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $170.25 / $212.81	Professional		$60.08	$170.25	$212.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $148.69 / $267.12	Facility		$118.95	$148.69	$267.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $73.34 / $115.08	Professional		$48.90	$73.34	$115.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $161.72 / $286.70	Facility		$143.00	$161.72	$286.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $132.47 / $333.19	Professional		$106.70	$132.47	$333.19
United Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $73.34 / $78.76	Professional		$48.90	$73.34	$78.76