Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $53.44 / $53.44	Professional		$42.75	$53.44	$53.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $21.75 / $122.37	Professional		$12.97	$21.75	$122.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $79.95 / $109.93	Facility		$53.00	$79.95	$109.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $57.03 / $92.95	Professional		$50.47	$57.03	$92.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $82.88 / $113.93	Facility		$75.94	$82.88	$113.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $83.10 / $109.39	Professional		$53.00	$83.10	$109.39
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $57.03 / $59.55	Professional		$50.47	$57.03	$59.55