Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $147.75 / $250.98	Facility		$30.75	$147.75	$250.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $67.53 / $67.76	Professional		$67.53	$67.53	$67.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $18.28 / $18.28	Professional		$14.63	$18.28	$18.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $44.59 / $52.29	Professional		$18.48	$44.59	$52.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $24.65 / $134.47	Facility		$16.00	$24.65	$134.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $124.58	Professional		$16.00	$16.00	$124.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $91.93 / $124.58	Facility		$20.00	$91.93	$124.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $93.26 / $183.20	Professional		$20.00	$93.26	$183.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.48	Professional		$16.00	$16.00	$16.48