Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.58 / $1,192.41 / $1,428.81	Professional		$1,183.58	$1,192.41	$1,428.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.05 / $1,928.07 / $3,112.35	Professional		$1,560.05	$1,928.07	$3,112.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,192.41 / $1,928.07 / $11,555.00	Facility		$1,192.41	$1,928.07	$11,555.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,346.04 / $2,107.81 / $8,637.46	Professional		$1,346.04	$2,107.81	$8,637.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,560.05 / $1,928.07 / $2,504.46	Facility		$1,560.05	$1,928.07	$2,504.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,560.05 / $1,799.42 / $2,504.46	Professional		$1,560.05	$1,799.42	$2,504.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $9,673.00 / $14,242.22	Facility		$7,234.00	$9,673.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.64 / $2,158.07 / $3,946.73	Professional		$1,333.64	$2,158.07	$3,946.73