Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,951.21 / $6,456.54	Facility		$173.78	$2,951.21	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $407.38	Professional		$100.00	$181.97	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $6,760.83	Facility		$112.20	$239.88	$6,760.83
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	52	$6,025.60	$6,025.60	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $281.84	Professional		$186.21	$245.47	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $7,762.47	Facility		$2,570.40	$5,128.61	$7,762.47