Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.11 / $636.11 / $907.99	Facility		$636.11	$636.11	$907.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.27 / $585.21 / $983.52	Professional		$382.27	$585.21	$983.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $1,027.83	Facility		$766.64	$766.64	$1,027.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.64 / $1,230.00 / $1,537.50	Professional		$766.64	$1,230.00	$1,537.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $105.61 / $921.27	Professional		$105.61	$105.61	$921.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $1,104.64 / $5,600.27	Facility		$113.19	$1,104.64	$5,600.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.08 / $525.10 / $1,304.33	Professional		$350.08	$525.10	$1,304.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $122.06 / $288.50	Facility		$116.70	$122.06	$288.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $142.57 / $271.39	Professional		$116.35	$142.57	$271.39
United Facility/Professional Professional Modifier Low / Median / High Price $428.17 / $525.10 / $1,304.33	Professional		$428.17	$525.10	$1,304.33