Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $5,248.07	Professional		$4,265.80	$4,365.16	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,398.83	Professional		$1,905.46	$1,905.46	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,981.07 / $4,677.35	Professional		$151.36	$3,981.07	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $7,079.46	Facility		$1,412.54	$1,995.26	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $7,244.36	Professional		$1,949.84	$5,248.07	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,090.30	Professional		$1,258.93	$1,949.84	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,309.57	Professional		$5,248.07	$5,248.07	$6,309.57