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 $255.98 / $255.98 / $329.70	Professional		$255.98	$255.98	$329.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $528.45 / $581.13	Professional		$318.24	$528.45	$581.13
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 $293.08 / $581.13 / $2,126.00	Facility		$293.08	$581.13	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $608.55 / $2,024.79	Professional		$437.40	$608.55	$2,024.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $318.24 / $528.45 / $672.92	Facility		$318.24	$528.45	$672.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.24 / $528.45 / $672.92	Professional		$318.24	$528.45	$672.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,640.00 / $3,560.25	Facility		$1,026.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $608.55 / $1,023.14	Professional		$428.79	$608.55	$1,023.14