Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $114.82 / $309.03	Professional		$39.81	$114.82	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $190.55	Professional		$100.00	$128.82	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Facility		$89.13	$89.13	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $363.08	Professional		$117.49	$125.89	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $125.89	Professional		$41.69	$77.62	$125.89