Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $97.85	Facility		$95.00	$95.00	$97.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $358.80 / $358.80	Professional		$95.00	$358.80	$358.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $257.81 / $381.23	Professional		$206.25	$257.81	$381.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $178.07 / $322.31	Professional		$150.00	$178.07	$322.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $124.66 / $587.26	Facility		$95.00	$124.66	$587.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $390.00 / $677.52	Professional		$156.00	$390.00	$677.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $127.98 / $855.37	Facility		$98.66	$127.98	$855.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $138.15 / $540.51	Professional		$98.66	$138.15	$540.51
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $413.75	Professional		$390.00	$390.00	$413.75