Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.92 / $216.92 / $238.61	Professional		$216.92	$216.92	$238.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $224.77 / $266.25	Professional		$213.00	$224.77	$266.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $60.87 / $334.24	Professional		$40.58	$60.87	$334.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $251.27 / $359.97	Facility		$177.00	$251.27	$359.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $247.53 / $310.61	Professional		$192.85	$247.53	$310.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.70 / $237.33 / $327.45	Facility		$214.70	$237.33	$327.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $237.33 / $310.61	Professional		$172.06	$237.33	$310.61
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $247.53 / $258.48	Professional		$219.05	$247.53	$258.48