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 $213.10 / $214.70 / $214.70	Professional		$213.10	$214.70	$214.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $298.85 / $379.52	Professional		$290.60	$298.85	$379.52
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 $298.85 / $6,036.00 / $10,938.02	Facility		$298.85	$6,036.00	$10,938.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $466.43 / $889.91	Professional		$251.27	$466.43	$889.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $2,930.75 / $3,972.29	Facility		$298.85	$2,930.75	$3,972.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $328.63 / $466.43	Professional		$290.60	$328.63	$466.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $431.34 / $693.08	Professional		$240.80	$431.34	$693.08