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 $87.04 / $87.71 / $45,451.12	Professional		$87.04	$87.71	$45,451.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $106.41 / $163.95	Professional		$85.13	$106.41	$163.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $192.50 / $401.47	Professional		$90.80	$192.50	$401.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $163.95 / $1,966.00	Facility		$87.71	$163.95	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $122.27 / $258.44	Professional		$79.12	$122.27	$258.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $163.95 / $258.44	Facility		$108.45	$163.95	$258.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $163.95 / $258.44	Professional		$108.45	$163.95	$258.44
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 $75.68 / $110.08 / $206.40	Professional		$75.68	$110.08	$206.40