Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $34.67 / $52.48	Professional		$15.14	$34.67	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.85	Professional		$12.30	$15.49	$15.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $151.36	Professional		$13.49	$17.38	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $81.28 / $104.71	Facility		$19.50	$81.28	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $245.47	Professional		$35.48	$52.48	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $69.18 / $93.33	Professional		$19.50	$69.18	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $93.33 / $93.33	Professional		$19.50	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $123.03	Facility		$53.70	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $81.28	Professional		$35.48	$44.67	$81.28