Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $20.89	Professional		$19.95	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.89	Facility		$19.50	$19.50	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
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 $20.42 / $22.91 / $100.00	Facility		$20.42	$22.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.89 / $22.91	Facility		$19.50	$20.89	$22.91