Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.10 / $548.10 / $708.14	Facility		$548.10	$548.10	$708.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.75 / $558.60 / $856.34	Professional		$316.75	$558.60	$856.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $851.77	Facility		$422.72	$422.72	$851.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.72 / $1,061.25 / $1,326.56	Professional		$422.72	$1,061.25	$1,326.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $92.95 / $763.22	Professional		$92.95	$92.95	$763.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.62 / $972.08 / $4,640.93	Facility		$100.62	$972.08	$4,640.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $425.03 / $1,081.13	Professional		$290.00	$425.03	$1,081.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.43 / $113.75 / $253.92	Facility		$107.43	$113.75	$253.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.42 / $136.34 / $224.88	Professional		$113.42	$136.34	$224.88
United Facility/Professional Professional Modifier Low / Median / High Price $354.72 / $395.63 / $1,081.13	Professional		$354.72	$395.63	$1,081.13