Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,570.40 / $6,760.83	Facility		$81.28	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $208.93	Professional		$64.57	$85.11	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $269.15	Facility		$251.19	$263.03	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $165.96	Professional		$107.15	$134.90	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $151.36	Professional		$58.88	$114.82	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $1,905.46	Facility		$83.18	$199.53	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $331.13	Professional		$91.20	$162.18	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $218.78	Professional		$109.65	$165.96	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
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 $91.20 / $141.25 / $281.84	Professional		$91.20	$141.25	$281.84