Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.50 / $1,016.64 / $1,572.64	Facility		$740.50	$1,016.64	$1,572.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $423.14	Professional		$423.14	$423.14	$423.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.88 / $475.88 / $594.84	Professional		$475.88	$475.88	$594.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $426.21 / $432.53	Professional		$150.00	$426.21	$432.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $308.07 / $568.83	Facility		$1.00	$308.07	$568.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $528.91 / $629.41	Professional		$343.00	$528.91	$629.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $310.67 / $560.66	Facility		$1.65	$310.67	$560.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $287.23 / $402.86 / $619.07	Professional		$287.23	$402.86	$619.07
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $539.50 / $629.41	Professional		$528.91	$539.50	$629.41