Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $93.84 / $310.38	Professional		$88.64	$93.84	$310.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.58 / $282.82 / $291.05	Facility		$274.58	$282.82	$291.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $144.38 / $217.81	Professional		$115.50	$144.38	$217.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $124.49 / $170.74	Professional		$66.81	$124.49	$170.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $157.85 / $1,775.00	Facility		$82.00	$157.85	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $179.36 / $541.11	Professional		$108.27	$179.36	$541.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $189.73 / $239.53	Facility		$157.85	$189.73	$239.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $181.74 / $239.53	Professional		$117.94	$181.74	$239.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $164.98 / $311.70	Professional		$103.11	$164.98	$311.70