Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $26.75 / $29.64	Professional		$23.85	$26.75	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $38.75 / $40.96	Professional		$32.25	$38.75	$40.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $146.29 / $217.72	Professional		$138.55	$146.29	$217.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $40.96 / $74.84	Facility		$26.60	$40.96	$74.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $217.93 / $355.92	Professional		$41.75	$217.93	$355.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $41.75 / $53.46	Facility		$37.97	$41.75	$53.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $47.02 / $69.54	Professional		$37.97	$47.02	$69.54
United Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $211.33 / $349.56	Professional		$106.77	$211.33	$349.56