Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $487.14 / $1,241.47	Facility		$138.46	$487.14	$1,241.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $138.46 / $138.91	Professional		$138.46	$138.46	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.13 / $592.13 / $740.16	Professional		$592.13	$592.13	$740.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $150.00 / $994.99	Professional		$133.13	$150.00	$994.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $275.70 / $711.08	Facility		$174.29	$275.70	$711.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $645.89 / $665.27	Professional		$245.63	$645.89	$665.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $204.85 / $328.00	Facility		$174.29	$204.85	$328.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $275.70 / $476.23	Professional		$174.29	$275.70	$476.23
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $665.27	Professional		$645.89	$645.89	$665.27