Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $64.80	Professional		$30.75	$30.75	$64.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $19.69 / $30.47	Professional		$15.75	$19.69	$30.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.23 / $105.93	Professional		$12.97	$22.23	$105.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $51.84 / $69.17	Facility		$37.00	$51.84	$69.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $27.44 / $58.36	Professional		$24.28	$27.44	$58.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $52.19 / $71.72	Facility		$43.18	$52.19	$71.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $51.84 / $67.87	Professional		$37.00	$51.84	$67.87
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $27.44 / $28.65	Professional		$24.28	$27.44	$28.65