Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $914.81	Facility		$795.00	$795.00	$914.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $825.68 / $1,097.84	Professional		$516.40	$825.68	$1,097.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $4,117.77 / $6,394.80	Professional		$24.99	$4,117.77	$6,394.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $330.03 / $3,680.46	Professional		$126.19	$330.03	$3,680.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $450.63 / $3,391.44	Facility		$100.00	$450.63	$3,391.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $96.83 / $450.63	Professional		$62.73	$96.83	$450.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $190.65 / $450.63	Facility		$190.65	$190.65	$450.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $228.10 / $450.63	Professional		$189.53	$228.10	$450.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $77.62 / $178.24	Professional		$62.73	$77.62	$178.24