Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,955.00 / $11,668.15	Facility		$4,964.00	$6,955.00	$11,668.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.81 / $974.02 / $974.02	Professional		$966.81	$974.02	$974.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.06 / $1,412.53 / $1,721.76	Professional		$1,270.06	$1,412.53	$1,721.76
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 $1,412.53 / $13,970.00 / $46,115.68	Facility		$1,412.53	$13,970.00	$46,115.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,253.40 / $2,419.60 / $4,878.74	Professional		$1,253.40	$2,419.60	$4,878.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,270.06 / $1,721.76 / $5,599.27	Facility		$1,270.06	$1,721.76	$5,599.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,270.06 / $1,721.76 / $5,599.27	Professional		$1,270.06	$1,721.76	$5,599.27
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 $1,201.18 / $2,419.60 / $3,432.39	Professional		$1,201.18	$2,419.60	$3,432.39