Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $489.78	Facility		$128.82	$131.83	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $199.53	Professional		$128.82	$131.83	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $177.83	Professional		$141.25	$141.25	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.76 / $512.86	Professional		$0.65	$0.76	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $234.42	Facility		$128.82	$169.82	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $346.74	Professional		$165.96	$331.13	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Professional		$138.04	$138.04	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $173.78	Facility		$0.33	$0.33	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $346.74	Professional		$331.13	$331.13	$346.74