Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.61 / $698.61 / $896.35	Facility		$698.61	$698.61	$896.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.86 / $728.03 / $1,133.60	Professional		$419.86	$728.03	$1,133.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $1,128.88	Facility		$359.59	$359.59	$1,128.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $1,350.00 / $1,687.50	Professional		$359.59	$1,350.00	$1,687.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $130.46 / $1,012.03	Professional		$130.46	$130.46	$1,012.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $1,364.39 / $6,150.76	Facility		$140.13	$1,364.39	$6,150.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $576.67 / $1,432.89	Professional		$384.46	$576.67	$1,432.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.59 / $150.77 / $356.36	Facility		$150.59	$150.77	$356.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $180.48 / $298.06	Professional		$150.13	$180.48	$298.06
United Facility/Professional Professional Modifier Low / Median / High Price $502.47 / $523.21 / $1,432.89	Professional		$502.47	$523.21	$1,432.89