Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $180.20 / $278.75	Facility		$75.00	$180.20	$278.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $85.39 / $103.13	Professional		$82.50	$85.39	$103.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.71 / $150.00	Professional		$139.13	$139.71	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $113.88 / $169.11	Facility		$85.39	$113.88	$169.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $148.55	Professional		$90.69	$90.69	$148.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $100.37 / $153.08	Facility		$85.39	$100.37	$153.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $125.14 / $184.04	Professional		$85.39	$125.14	$184.04
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $96.21	Professional		$90.69	$90.69	$96.21