Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $912.01	Facility		$812.83	$812.83	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,174.90	Professional		$616.60	$758.58	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Facility		$812.83	$812.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $1,148.15 / $1,445.44	Professional		$97.72	$1,148.15	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,513.56	Professional		$128.82	$128.82	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,778.28 / $4,897.79	Facility		$199.53	$1,778.28	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,202.26	Professional		$457.09	$575.44	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $2,137.96	Professional		$912.01	$977.24	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $446.68 / $794.33	Facility		$70.79	$446.68	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,258.93	Professional		$457.09	$549.54	$1,258.93