Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $83.24 / $116.00	Professional		$82.62	$83.24	$116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $122.39 / $141.56	Professional		$110.99	$122.39	$141.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $100.04 / $160.63	Professional		$49.90	$100.04	$160.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $122.39 / $1,775.00	Facility		$83.24	$122.39	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $151.58 / $638.02	Professional		$93.61	$151.58	$638.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $122.39 / $164.96	Facility		$102.93	$122.39	$164.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $122.39 / $164.96	Professional		$102.93	$122.39	$164.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $138.51 / $277.02	Professional		$89.48	$138.51	$277.02