Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $158.12	Professional		$125.50	$125.50	$158.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $140.58 / $154.69	Professional		$123.75	$140.58	$154.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $51.45 / $189.32	Professional		$29.67	$51.45	$189.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $170.43 / $212.10	Facility		$145.00	$170.43	$212.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $164.04 / $194.00	Professional		$147.65	$164.04	$194.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $154.99 / $204.75	Facility		$141.50	$154.99	$204.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $158.97 / $194.00	Professional		$117.14	$158.97	$194.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $166.84 / $174.23	Professional		$147.65	$166.84	$174.23