Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $5,463.36 / $12,885.00	Facility		$4,014.00	$5,463.36	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.19 / $327.64 / $327.64	Professional		$325.19	$327.64	$327.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $72.20 / $527.24	Professional		$65.66	$72.20	$527.24
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 $72.20 / $10,583.43 / $22,089.33	Facility		$72.20	$10,583.43	$22,089.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $114.25 / $755.19	Professional		$56.65	$114.25	$755.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $8,955.20 / $12,245.40	Facility		$72.20	$8,955.20	$12,245.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $425.32 / $682.85	Professional		$65.66	$425.32	$682.85
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 $56.65 / $114.25 / $157.88	Professional		$56.65	$114.25	$157.88