Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $389.05	Facility		$117.49	$117.49	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $151.36	Professional		$117.49	$117.49	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $501.19	Professional		$151.36	$275.42	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $208.93	Facility		$117.49	$125.89	$208.93