Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Facility		$23.99	$23.99	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $30.90	Professional		$24.55	$28.18	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $151.36	Professional		$97.72	$112.20	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $53.70	Facility		$32.36	$41.69	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $52.48	Professional		$29.51	$33.11	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $53.70	Professional		$32.36	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $35.48	Professional		$29.51	$33.11	$35.48