Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $91.20	Professional		$50.12	$69.18	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $302.00	Facility		$190.55	$245.47	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $181.97	Professional		$93.33	$147.91	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $165.96	Facility		$95.50	$165.96	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Professional		$91.20	$91.20	$117.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $302.00	Facility		$204.17	$257.04	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $91.20 / $204.17	Facility		$0.09	$91.20	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $125.89	Professional		$91.20	$112.20	$125.89