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 $872.13 / $878.63 / $1,038.34	Professional		$872.13	$878.63	$1,038.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.25 / $1,208.23 / $1,461.56	Professional		$1,169.25	$1,208.23	$1,461.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $504.26 / $690.11 / $1,391.59	Professional		$504.26	$690.11	$1,391.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.44 / $6,296.55 / $13,250.95	Facility		$916.44	$6,296.55	$13,250.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.07 / $1,601.77 / $4,401.05	Professional		$1,044.07	$1,601.77	$4,401.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,208.23 / $6,296.55 / $8,213.78	Facility		$1,208.23	$6,296.55	$8,213.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.44 / $1,553.14 / $4,040.33	Professional		$916.44	$1,553.14	$4,040.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.44 / $1,507.55 / $2,826.66	Professional		$1,036.44	$1,507.55	$2,826.66