Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $5,370.32 / $7,943.28	Facility		$89.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $112.20	Professional		$57.54	$93.33	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $288.40	Facility		$275.42	$281.84	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $177.83	Professional		$114.82	$144.54	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $162.18	Professional		$66.07	$125.89	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $1,905.46	Facility		$89.13	$218.78	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $354.81	Professional		$97.72	$173.78	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $239.88	Professional		$117.49	$177.83	$239.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $302.00	Professional		$97.72	$154.88	$302.00