Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.17 / $179.17 / $209.65	Facility		$179.17	$179.17	$209.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $151.28 / $247.43	Professional		$119.25	$151.28	$247.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $178.86 / $228.05	Facility		$156.88	$178.86	$228.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $303.75 / $379.69	Professional		$228.05	$303.75	$379.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $150.00 / $358.42	Professional		$27.67	$150.00	$358.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $304.58 / $1,242.55	Facility		$37.32	$304.58	$1,242.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $134.02 / $295.05	Professional		$100.03	$134.02	$295.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $38.40 / $86.55	Facility		$36.61	$38.40	$86.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $45.94 / $72.63	Professional		$37.90	$45.94	$72.63
United Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $128.84 / $302.58	Professional		$100.16	$128.84	$302.58