Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $248.76 / $384.82	Facility		$103.54	$248.76	$384.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $103.54	Professional		$103.54	$103.54	$103.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $118.00 / $144.38	Professional		$115.50	$118.00	$144.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $194.78 / $199.37	Professional		$150.00	$194.78	$199.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $142.49 / $189.00	Facility		$118.00	$142.49	$189.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $205.04	Professional		$129.41	$129.41	$205.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $138.68 / $189.00	Facility		$118.00	$138.68	$189.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $166.29 / $254.33	Professional		$118.00	$166.29	$254.33
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $133.30	Professional		$129.41	$129.41	$133.30