Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,570.40 / $6,760.83	Facility		$162.18	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $194.98	Professional		$100.00	$165.96	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $524.81	Facility		$501.19	$512.86	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $323.59	Professional		$213.80	$263.03	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $288.40	Professional		$100.00	$213.80	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $912.01 / $3,890.45	Facility		$181.97	$912.01	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $645.65	Professional		$177.83	$309.03	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $436.52	Professional		$213.80	$323.59	$436.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Facility		$1,621.81	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $549.54	Professional		$177.83	$281.84	$549.54