Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $156.86 / $156.86	Professional		$156.86	$156.86	$156.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $217.97 / $248.56	Professional		$174.38	$217.97	$248.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $208.62 / $267.89	Professional		$163.55	$208.62	$267.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $635.29 / $1,914.00	Facility		$158.00	$635.29	$1,914.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $235.99 / $1,117.64	Professional		$153.69	$235.99	$1,117.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.56 / $528.54 / $656.58	Facility		$248.56	$528.54	$656.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.03 / $272.25 / $597.40	Professional		$226.03	$272.25	$597.40
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 $153.69 / $210.84 / $416.94	Professional		$153.69	$210.84	$416.94