Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $103.40 / $196.11	Professional		$103.22	$103.40	$196.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $48.75 / $164.83	Professional		$39.00	$48.75	$164.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $145.60 / $239.57	Professional		$43.58	$145.60	$239.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.57 / $470.81 / $2,126.00	Facility		$119.57	$470.81	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $466.45 / $862.75	Professional		$181.26	$466.45	$862.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.57 / $190.77 / $214.81	Facility		$119.57	$190.77	$214.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $181.26 / $209.91	Professional		$119.57	$181.26	$209.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $546.58 / $862.75	Professional		$304.77	$546.58	$862.75