Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Facility		$20.83	$20.83	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Professional		$20.83	$20.83	$20.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $171.29 / $276.35	Professional		$138.79	$171.29	$276.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $100.00	Facility		$20.83	$20.83	$100.00