Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $331.13	Professional		$199.53	$275.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,380.38 / $2,884.03	Facility		$346.74	$1,380.38	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,548.82	Professional		$302.00	$446.68	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $3,019.95	Facility		$1,348.96	$2,344.23	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $912.01	Professional		$302.00	$416.87	$912.01