Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $7,119.04 / $12,885.00	Facility		$4,014.00	$7,119.04	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.62 / $536.61 / $536.61	Professional		$532.62	$536.61	$536.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.38 / $789.31 / $948.55	Professional		$663.38	$789.31	$948.55
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 $663.38 / $15,202.00 / $46,115.68	Facility		$663.38	$15,202.00	$46,115.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.31 / $1,186.75 / $4,300.24	Professional		$691.31	$1,186.75	$4,300.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $789.31 / $16,344.26 / $21,532.42	Facility		$789.31	$16,344.26	$21,532.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $663.38 / $789.31 / $1,064.88	Professional		$663.38	$789.31	$1,064.88
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.31 / $1,334.53 / $1,875.35	Professional		$691.31	$1,334.53	$1,875.35