Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $129.72 / $129.72	Professional		$128.78	$129.72	$129.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $160.41 / $260.33	Professional		$160.41	$160.41	$260.33
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 $101.91 / $219.24 / $1,966.00	Facility		$101.91	$219.24	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $166.92 / $449.29	Professional		$139.10	$166.92	$449.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $256.70 / $284.89	Facility		$160.41	$256.70	$284.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $260.33 / $284.89	Professional		$160.41	$260.33	$284.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $159.97 / $268.45	Professional		$139.10	$159.97	$268.45