Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.58 / $210.58 / $218.84	Facility		$210.58	$210.58	$218.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $161.40 / $300.97	Professional		$112.16	$161.40	$300.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $434.53 / $482.61	Professional		$347.63	$434.53	$482.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.53 / $891.20 / $944.00	Professional		$651.53	$891.20	$944.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $445.31 / $1,226.58	Facility		$161.40	$445.31	$1,226.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $233.65 / $471.43	Professional		$136.10	$233.65	$471.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.29 / $336.24 / $545.00	Facility		$282.29	$336.24	$545.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.91 / $409.09 / $696.06	Professional		$280.91	$409.09	$696.06
United Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $200.08 / $385.24	Professional		$135.91	$200.08	$385.24