Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.36 / $578.63 / $578.63	Professional		$574.36	$578.63	$578.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $328.63 / $715.13	Professional		$298.85	$328.63	$715.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.63 / $6,036.00 / $10,938.02	Facility		$328.63	$6,036.00	$10,938.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $506.72 / $1,269.75	Professional		$251.27	$506.72	$1,269.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.63 / $2,930.75 / $3,972.29	Facility		$328.63	$2,930.75	$3,972.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $380.55 / $1,147.35	Professional		$298.85	$380.55	$1,147.35
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 $251.27 / $431.34 / $700.24	Professional		$251.27	$431.34	$700.24