Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $64.57	Professional		$34.67	$52.48	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $77.62	Professional		$58.88	$70.79	$77.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $245.47	Facility		$52.48	$77.62	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $338.84	Professional		$63.10	$97.72	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $77.62	Professional		$58.88	$70.79	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Professional		$48.98	$48.98	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $239.88 / $309.03	Facility		$138.04	$239.88	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $147.91	Professional		$57.54	$91.20	$147.91