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 $58.88 / $93.33 / $109.65	Professional		$58.88	$93.33	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $295.12	Facility		$275.42	$288.40	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $239.88	Professional		$120.23	$181.97	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $151.36	Professional		$67.61	$100.00	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $218.78 / $1,905.46	Facility		$91.20	$218.78	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $363.08	Professional		$100.00	$177.83	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $239.88	Professional		$120.23	$181.97	$239.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
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 $100.00 / $154.88 / $309.03	Professional		$100.00	$154.88	$309.03