Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Facility		$107.15	$107.15	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $363.08	Professional		$87.10	$117.49	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $309.03	Facility		$295.12	$302.00	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $407.38 / $501.19	Professional		$158.49	$407.38	$501.19
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 $112.20 / $218.78 / $2,511.89	Facility		$112.20	$218.78	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $660.69	Professional		$128.82	$288.40	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $281.84	Professional		$213.80	$234.42	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $257.04	Professional		$213.80	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $269.15	Facility		$114.82	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65