Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.42 / $307.69 / $307.69	Professional		$305.42	$307.69	$307.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $452.95 / $468.75	Professional		$375.00	$452.95	$468.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $509.94 / $644.65	Professional		$391.78	$509.94	$644.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $452.95 / $12,871.00 / $27,932.89	Facility		$452.95	$12,871.00	$27,932.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.72 / $660.04 / $1,305.90	Professional		$368.72	$660.04	$1,305.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.10 / $543.88 / $729.96	Facility		$411.10	$543.88	$729.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $411.10 / $498.11 / $729.96	Professional		$411.10	$498.11	$729.96
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.69 / $709.76 / $1,008.70	Professional		$364.69	$709.76	$1,008.70