Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $39.83 / $61.62	Facility		$16.57	$39.83	$61.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Professional		$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $22.50	Professional		$18.00	$18.00	$22.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $381.69 / $381.69	Professional		$150.00	$381.69	$381.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.13 / $29.68	Facility		$1.00	$3.13	$29.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $21.34	Professional		$20.72	$20.72	$21.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $3.13	Facility		$0.90	$1.00	$3.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $21.34	Professional		$20.72	$20.72	$21.34