Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Facility		$67.15	$67.15	$67.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.15 / $73.33	Professional		$67.15	$67.15	$73.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $869.25 / $1,086.56	Professional		$30.72	$869.25	$1,086.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $438.62 / $497.07 / $526.52	Professional		$438.62	$497.07	$526.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $100.00 / $200.43	Facility		$67.15	$100.00	$200.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $43.90 / $43.90	Professional		$43.90	$43.90	$43.90