Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $181.97	Professional		$169.82	$177.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $812.83	Facility		$169.82	$199.53	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83