Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $344.81 / $1,168.31	Professional		$276.27	$344.81	$1,168.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $432.32 / $455.16	Professional		$364.13	$432.32	$455.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $202.60 / $274.43	Professional		$150.00	$202.60	$274.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.81 / $391.84 / $676.43	Facility		$224.81	$391.84	$676.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $391.84 / $591.97	Professional		$258.06	$391.84	$591.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.28 / $391.84 / $684.14	Facility		$354.28	$391.84	$684.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.28 / $397.01 / $602.15	Professional		$354.28	$397.01	$602.15
United Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $306.88 / $546.62	Professional		$258.06	$306.88	$546.62