Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.72 / $909.72 / $1,281.44	Facility		$909.72	$909.72	$1,281.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.52 / $935.48 / $1,458.47	Professional		$539.52	$935.48	$1,458.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $1,450.48	Facility		$469.00	$469.00	$1,450.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $1,758.75 / $2,198.44	Professional		$469.00	$1,758.75	$2,198.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $167.64 / $1,300.08	Professional		$167.64	$167.64	$1,300.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.64 / $1,753.20 / $7,903.07	Facility		$179.64	$1,753.20	$7,903.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.06 / $741.08 / $1,841.14	Professional		$494.06	$741.08	$1,841.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.74 / $193.74 / $457.94	Facility		$193.74	$193.74	$457.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $232.20 / $382.99	Professional		$193.17	$232.20	$382.99
United Facility/Professional Professional Modifier Low / Median / High Price $604.39 / $724.00 / $1,841.14	Professional		$604.39	$724.00	$1,841.14