Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $205.12 / $688.44	Professional		$164.36	$205.12	$688.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $257.16 / $270.94	Professional		$216.75	$257.16	$270.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $203.33 / $275.42	Professional		$150.00	$203.33	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $230.33 / $402.79	Facility		$132.13	$230.33	$402.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $221.18 / $373.89	Professional		$158.97	$221.18	$373.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.65 / $230.33 / $406.95	Facility		$210.65	$230.33	$406.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $233.36 / $353.93	Professional		$210.65	$233.36	$353.93
United Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $221.18 / $371.87	Professional		$153.88	$221.18	$371.87