Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $52.48	Professional		$38.02	$45.71	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $75.86	Professional		$60.26	$69.18	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $89.13	Professional		$60.26	$70.79	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $97.72	Facility		$38.90	$60.26	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $389.05	Professional		$43.65	$66.07	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $81.28	Professional		$60.26	$63.10	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $72.44 / $95.50	Facility		$41.69	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $114.82	Professional		$41.69	$60.26	$114.82