Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.54 / $816.54 / $917.00	Facility		$816.54	$816.54	$917.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.03 / $779.96 / $1,173.59	Professional		$569.03	$779.96	$1,173.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $1,099.28	Facility		$816.59	$816.59	$1,099.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $1,099.28 / $1,439.06	Professional		$96.84	$1,099.28	$1,439.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $129.61 / $1,508.61	Professional		$129.61	$129.61	$1,508.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $1,788.35 / $4,925.89	Facility		$201.85	$1,788.35	$4,925.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.99 / $611.98 / $1,257.02	Professional		$458.99	$611.98	$1,257.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $201.85 / $477.10	Facility		$201.85	$201.85	$477.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $241.46 / $394.97	Professional		$200.62	$241.46	$394.97
United Facility/Professional Professional Modifier Low / Median / High Price $458.99 / $569.29 / $1,257.02	Professional		$458.99	$569.29	$1,257.02