Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $82.59 / $209.80	Professional		$81.98	$82.59	$209.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.83 / $261.44 / $269.06	Facility		$253.83	$261.44	$269.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $135.00 / $200.65	Professional		$108.00	$135.00	$200.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $115.72 / $158.69	Professional		$58.39	$115.72	$158.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.59 / $146.00 / $1,775.00	Facility		$82.59	$146.00	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $165.76 / $500.01	Professional		$99.73	$165.76	$500.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $175.51 / $220.65	Facility		$146.00	$175.51	$220.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $167.96 / $220.65	Professional		$109.24	$167.96	$220.65
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 $94.98 / $151.97 / $288.02	Professional		$94.98	$151.97	$288.02