Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,001.24 / $5,038.49 / $5,038.49	Professional		$5,001.24	$5,038.49	$5,038.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,270.11 / $3,368.21 / $3,466.32	Facility		$3,270.11	$3,368.21	$3,466.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,843.42 / $13,369.88 / $16,712.34	Professional		$2,843.42	$13,369.88	$16,712.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $432.94 / $649.41 / $763.55	Professional		$432.94	$649.41	$763.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,843.42 / $12,314.00 / $30,268.98	Facility		$2,843.42	$12,314.00	$30,268.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,188.75 / $2,615.25 / $9,194.39	Professional		$1,188.75	$2,615.25	$9,194.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.48 / $3,368.21 / $9,194.39	Facility		$2,137.48	$3,368.21	$9,194.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.48 / $2,755.73 / $9,194.39	Professional		$2,137.48	$2,755.73	$9,194.39
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.75 / $2,504.63 / $3,517.94	Professional		$1,188.75	$2,504.63	$3,517.94