Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $5,011.87 / $6,918.31	Facility		$97.72	$5,011.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $223.87 / $1,737.80	Professional		$91.20	$223.87	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $269.15	Facility		$257.04	$263.03	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $346.74 / $436.52	Professional		$138.04	$346.74	$436.52
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 $100.00 / $204.17 / $2,570.40	Facility		$100.00	$204.17	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $478.63 / $1,258.93	Professional		$186.21	$478.63	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $245.47	Professional		$186.21	$204.17	$245.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $223.87	Professional		$186.21	$223.87	$223.87
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 $91.20 / $91.20 / $95.50	Professional		$91.20	$91.20	$95.50