Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $2,570.40 / $6,760.83	Facility		$74.13	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $95.50	Professional		$50.12	$77.62	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $131.83	Professional		$93.33	$107.15	$131.83
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 $74.13 / $93.33 / $131.83	Facility		$74.13	$93.33	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $512.86	Professional		$81.28	$104.71	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $131.83	Professional		$93.33	$107.15	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $169.82	Facility		$114.82	$114.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $165.96	Professional		$79.43	$95.50	$165.96