Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $912.66 / $912.66	Professional		$905.91	$912.66	$912.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.74 / $2,705.12 / $2,974.77	Professional		$1,471.74	$2,705.12	$2,974.77
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 $1,471.74 / $7,091.00 / $14,642.40	Facility		$1,471.74	$7,091.00	$14,642.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,446.75 / $2,735.25 / $6,033.93	Professional		$1,446.75	$2,735.25	$6,033.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,579.41 / $2,974.77 / $7,470.63	Facility		$1,579.41	$2,974.77	$7,470.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,471.74 / $2,266.84 / $2,974.77	Professional		$1,471.74	$2,266.84	$2,974.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,036.00 / $8,890.29 / $14,642.40	Facility		$6,036.00	$8,890.29	$14,642.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.32 / $2,427.86 / $4,220.87	Professional		$1,356.32	$2,427.86	$4,220.87