Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $812.83	Facility		$575.44	$575.44	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $891.25	Professional		$346.74	$602.56	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $977.24	Facility		$426.58	$426.58	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $1,122.02 / $1,412.54	Professional		$85.11	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $831.76	Professional		$104.71	$104.71	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,000.00 / $5,128.61	Facility		$104.71	$1,000.00	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,071.52	Professional		$295.12	$446.68	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $2,187.76	Professional		$912.01	$933.25	$2,187.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $288.40 / $630.96	Facility		$41.69	$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