Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $114.82	Professional		$61.66	$85.11	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $302.00	Facility		$190.55	$245.47	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $794.33	Professional		$147.91	$181.97	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $2,187.76	Facility		$89.13	$138.04	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $2,570.40	Professional		$1,380.38	$1,445.44	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,380.38 / $2,187.76	Professional		$138.04	$1,380.38	$2,187.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $302.00	Facility		$204.17	$257.04	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1,445.44 / $2,398.83	Facility		$1.45	$1,445.44	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,318.26 / $1,445.44	Professional		$125.89	$1,318.26	$1,445.44