Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Facility		$616.60	$616.60	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $912.01	Professional		$346.74	$549.54	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Facility		$691.83	$691.83	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $1,202.26 / $1,479.11	Professional		$83.18	$1,202.26	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $831.76	Professional		$95.50	$95.50	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,000.00 / $5,011.87	Facility		$100.00	$1,000.00	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,071.52	Professional		$288.40	$446.68	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,187.76	Professional		$912.01	$912.01	$2,187.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $288.40 / $630.96	Facility		$40.74	$288.40	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,174.90	Professional		$380.19	$467.74	$1,174.90