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 $198.39 / $199.86 / $199.86	Professional		$198.39	$199.86	$199.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $293.92 / $382.92	Professional		$244.76	$293.92	$382.92
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 $293.92 / $6,244.48 / $10,320.00	Facility		$293.92	$6,244.48	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.56 / $422.94 / $862.62	Professional		$243.56	$422.94	$862.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $244.76 / $374.29 / $525.59	Facility		$244.76	$374.29	$525.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $323.23 / $540.47	Professional		$244.76	$323.23	$540.47
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 $233.42 / $470.17 / $760.69	Professional		$233.42	$470.17	$760.69