Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $43.89 / $44.14	Professional		$43.89	$43.89	$44.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $39.38 / $133.12	Professional		$31.50	$39.38	$133.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $66.28 / $117.49	Professional		$33.84	$66.28	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $146.69 / $799.72	Facility		$43.89	$146.69	$799.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $184.20 / $404.94	Professional		$121.06	$184.20	$404.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $267.60 / $341.92	Facility		$121.06	$267.60	$341.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $148.51 / $341.41	Professional		$63.01	$148.51	$341.41
United Facility/Professional Facility Modifier Low / Median / High Price $341.69 / $357.01 / $528.90	Facility		$341.69	$357.01	$528.90
United Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $184.20 / $323.18	Professional		$126.54	$184.20	$323.18