Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $175.27 / $176.25	Professional		$175.27	$175.27	$176.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $392.63 / $490.78	Professional		$262.47	$392.63	$490.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $427.06 / $594.60	Professional		$245.34	$427.06	$594.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.27 / $309.82 / $1,775.00	Facility		$175.27	$309.82	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $493.44 / $1,036.32	Professional		$278.02	$493.44	$1,036.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $213.54 / $321.95	Facility		$171.35	$213.54	$321.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $252.82 / $309.82 / $471.37	Professional		$252.82	$309.82	$471.37
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 $308.55 / $477.53 / $857.86	Professional		$308.55	$477.53	$857.86