Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $45.35 / $45.35	Facility		$36.75	$45.35	$45.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.75 / $300.94 / $300.94	Professional		$240.75	$300.94	$300.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $163.87 / $167.32	Professional		$142.69	$163.87	$167.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $307.62 / $486.82	Facility		$35.49	$307.62	$486.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $180.90 / $530.36	Professional		$124.52	$180.90	$530.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.94 / $345.14 / $486.82	Facility		$263.94	$345.14	$486.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $360.62 / $529.20	Professional		$263.94	$360.62	$529.20
United Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $124.52 / $228.81	Professional		$124.34	$124.52	$228.81