Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $20.42	Facility		$19.05	$19.05	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
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 $19.05 / $21.38 / $100.00	Facility		$19.05	$21.38	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.42 / $22.39	Facility		$19.05	$20.42	$22.39