Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $95.84 / $148.26	Facility		$39.89	$95.84	$148.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Professional		$39.89	$39.89	$39.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $43.88 / $54.84	Professional		$43.88	$43.88	$54.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $63.46 / $65.13	Professional		$27.31	$63.46	$65.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $1,091.50 / $1,726.68	Facility		$7.64	$1,091.50	$1,726.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $1,599.53	Professional		$42.28	$42.28	$1,599.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $1,180.49 / $1,599.53	Facility		$10.00	$1,180.49	$1,599.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $1,197.56 / $2,352.44	Professional		$59.00	$1,197.56	$2,352.44
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $46.51	Professional		$42.28	$42.28	$46.51