Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $2,570.40 / $6,760.83	Facility		$83.18	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $158.49	Professional		$63.10	$87.10	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $257.04 / $263.03	Facility		$251.19	$257.04	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $162.18	Professional		$107.15	$134.90	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $151.36	Professional		$57.54	$114.82	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $199.53 / $1,905.46	Facility		$85.11	$199.53	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $323.59	Professional		$89.13	$158.49	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $218.78	Professional		$104.71	$162.18	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
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 $89.13 / $141.25 / $275.42	Professional		$89.13	$141.25	$275.42