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 $352.96 / $355.61 / $355.61	Professional		$352.96	$355.61	$355.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.83 / $522.19 / $628.60	Professional		$416.83	$522.19	$628.60
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 $522.19 / $23,738.70 / $59,910.88	Facility		$522.19	$23,738.70	$59,910.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.86 / $740.19 / $1,550.74	Professional		$437.86	$740.19	$1,550.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $522.19 / $25,127.97 / $33,198.08	Facility		$522.19	$25,127.97	$33,198.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.83 / $574.25 / $705.04	Professional		$416.83	$574.25	$705.04
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 $437.86 / $842.70 / $1,207.75	Professional		$437.86	$842.70	$1,207.75