Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $870.96 / $1,096.48	Professional		$30.90	$870.96	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $524.81	Professional		$436.52	$501.19	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $199.53	Facility		$67.61	$100.00	$199.53