Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Facility		$173.78	$173.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $223.87	Professional		$117.49	$144.54	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $478.63	Professional		$346.74	$436.52	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $933.25	Professional		$776.25	$891.25	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $1,230.27	Facility		$173.78	$380.19	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $660.69	Professional		$134.90	$316.23	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $549.54	Professional		$288.40	$426.58	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $467.74	Professional		$457.09	$467.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $234.42 / $389.05	Facility		$151.36	$234.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $389.05	Professional		$134.90	$199.53	$389.05