Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.72 / $303.72 / $357.88	Facility		$303.72	$303.72	$357.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $261.58 / $419.43	Professional		$193.44	$261.58	$419.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $386.04	Facility		$256.50	$256.50	$386.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $543.75 / $712.04	Professional		$256.50	$543.75	$712.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $48.21 / $465.99	Professional		$48.21	$48.21	$465.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $543.63 / $1,497.41	Facility		$61.92	$543.63	$1,497.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $216.70 / $455.03	Professional		$165.92	$216.70	$455.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $61.92 / $146.35	Facility		$61.92	$61.92	$146.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $74.02 / $120.71	Professional		$61.48	$74.02	$120.71
United Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $171.69 / $455.03	Professional		$166.15	$171.69	$455.03