Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $261.19 / $1,108.73	Facility		$74.50	$261.19	$1,108.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $137.47	Professional		$137.47	$137.47	$137.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $153.97 / $451.81	Facility		$137.47	$153.97	$451.81