Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,570.40 / $6,760.83	Facility		$190.55	$2,570.40	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $630.96	Professional		$107.15	$257.04	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $3,019.95	Facility		$134.90	$275.42	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $331.13	Professional		$245.47	$281.84	$331.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,162.28 / $6,309.57	Facility		$1,445.44	$3,162.28	$6,309.57