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 $68.22 / $68.70 / $96.61	Professional		$68.22	$68.70	$96.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $111.52 / $169.91	Professional		$85.15	$111.52	$169.91
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 $68.70 / $111.52 / $1,775.00	Facility		$68.70	$111.52	$1,775.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $128.02 / $499.43	Professional		$81.43	$128.02	$499.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $111.52 / $136.72	Facility		$85.15	$111.52	$136.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $111.52 / $169.91	Professional		$85.15	$111.52	$169.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $131.58 / $240.99	Professional		$77.81	$131.58	$240.99