Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $132.75 / $165.94	Professional		$132.75	$132.75	$165.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $150.00 / $288.58	Professional		$103.04	$150.00	$288.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.37 / $238.71 / $252.84	Facility		$194.37	$238.71	$252.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $179.62 / $187.57	Professional		$158.96	$179.62	$187.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Facility		$140.44	$140.44	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $179.62 / $187.57	Professional		$158.96	$179.62	$187.57