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 $88.62 / $90.27 / $120.00	Professional		$88.62	$90.27	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.51 / $286.87 / $295.22	Facility		$278.51	$286.87	$295.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $191.02 / $242.11	Professional		$119.33	$191.02	$242.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $99.92 / $125.37	Professional		$67.56	$99.92	$125.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $159.58 / $1,775.00	Facility		$90.27	$159.58	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $182.11 / $547.66	Professional		$109.45	$182.11	$547.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $191.02 / $242.11	Facility		$159.58	$191.02	$242.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $184.51 / $242.11	Professional		$119.33	$184.51	$242.11
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 $104.24 / $166.78 / $315.49	Professional		$104.24	$166.78	$315.49