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 $214.09 / $215.68 / $215.68	Professional		$214.09	$215.68	$215.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $316.70 / $340.31	Professional		$272.25	$316.70	$340.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $361.32 / $444.95	Professional		$230.10	$361.32	$444.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.70 / $6,558.00 / $10,320.00	Facility		$316.70	$6,558.00	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $450.95 / $930.37	Professional		$262.69	$450.95	$930.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.12 / $381.24 / $497.44	Facility		$280.12	$381.24	$497.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.12 / $348.27 / $497.44	Professional		$280.12	$348.27	$497.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $506.29 / $719.36	Professional		$262.69	$506.29	$719.36