Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $95.50	Professional		$32.36	$57.54	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $181.97 / $186.21	Facility		$177.83	$181.97	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $346.74 / $436.52	Professional		$138.04	$346.74	$436.52
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 $79.43 / $186.21 / $501.19	Facility		$79.43	$186.21	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $616.60	Professional		$131.83	$257.04	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $213.80	Professional		$131.83	$141.25	$213.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $234.42	Professional		$131.83	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $269.15	Facility		$114.82	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $204.17	Professional		$97.72	$97.72	$204.17