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 $377.06 / $379.89 / $379.89	Professional		$377.06	$379.89	$379.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.38 / $558.38 / $713.25	Professional		$469.38	$558.38	$713.25
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 $558.38 / $6,244.48 / $10,320.00	Facility		$558.38	$6,244.48	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $788.84 / $1,627.45	Professional		$459.52	$788.84	$1,627.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $469.38 / $711.03 / $936.12	Facility		$469.38	$711.03	$936.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $469.38 / $614.04 / $1,003.05	Professional		$469.38	$614.04	$1,003.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,689.47 / $7,672.94 / $10,320.00	Facility		$4,689.47	$7,672.94	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $887.05 / $1,259.05	Professional		$459.52	$887.05	$1,259.05