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 $322.20 / $324.62 / $324.62	Professional		$322.20	$324.62	$324.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.69 / $477.52 / $620.57	Professional		$395.69	$477.52	$620.57
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 $477.52 / $6,244.48 / $10,320.00	Facility		$477.52	$6,244.48	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $686.31 / $1,408.79	Professional		$397.78	$686.31	$1,408.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.69 / $608.05 / $852.89	Facility		$395.69	$608.05	$852.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.69 / $525.12 / $873.81	Professional		$395.69	$525.12	$873.81
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 $397.78 / $808.72 / $1,079.07	Professional		$397.78	$808.72	$1,079.07