Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $154.88	Professional		$123.03	$141.25	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $218.78	Professional		$33.11	$56.23	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $229.09	Facility		$144.54	$169.82	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $194.98	Professional		$144.54	$154.88	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $204.17	Professional		$158.49	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $173.78	Professional		$147.91	$165.96	$173.78