Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
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 $104.71 / $117.49 / $478.63	Facility		$104.71	$117.49	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78