Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $312.33 / $483.16	Facility		$130.00	$312.33	$483.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $142.88 / $178.59	Professional		$142.88	$142.88	$178.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $150.00 / $512.91	Professional		$0.75	$150.00	$512.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $171.74 / $219.70	Facility		$127.70	$171.74	$219.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $332.96 / $342.95	Professional		$171.56	$332.96	$342.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $150.09 / $193.00	Facility		$127.70	$150.09	$193.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $179.10 / $275.25	Professional		$127.70	$179.10	$275.25
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $353.24	Professional		$332.96	$332.96	$353.24