Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $7,119.04 / $12,885.00	Facility		$4,014.00	$7,119.04	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.06 / $751.65 / $751.65	Professional		$746.06	$751.65	$751.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.10 / $1,170.80 / $1,328.67	Professional		$765.10	$1,170.80	$1,328.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.94 / $377.95 / $567.58	Professional		$344.94	$377.95	$567.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.54 / $23,738.70 / $85,575.21	Facility		$1,157.54	$23,738.70	$85,575.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $983.53 / $1,679.88 / $3,634.77	Professional		$983.53	$1,679.88	$3,634.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,170.80 / $38,978.62 / $52,236.37	Facility		$1,170.80	$38,978.62	$52,236.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $765.10 / $1,287.51 / $1,491.91	Professional		$765.10	$1,287.51	$1,491.91
United Facility/Professional Facility Modifier Low / Median / High Price $16,167.00 / $18,245.00 / $28,931.00	Facility		$16,167.00	$18,245.00	$28,931.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.53 / $1,761.79 / $2,808.23	Professional		$983.53	$1,761.79	$2,808.23