Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.60 / $145.11 / $145.11	Facility		$117.60	$145.11	$145.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $74.06 / $89.76	Professional		$59.25	$74.06	$89.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $92.31 / $198.93	Professional		$51.00	$92.31	$198.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $91.68 / $142.04	Facility		$85.94	$91.68	$142.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $144.10	Professional		$79.80	$79.80	$144.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $104.54 / $142.04	Facility		$88.26	$104.54	$142.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $104.54 / $160.62	Professional		$86.94	$104.54	$160.62
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $98.47	Professional		$79.80	$79.80	$98.47