Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $218.78	Professional		$22.91	$32.36	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $346.74	Professional		$51.29	$93.33	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $128.82	Facility		$36.31	$58.88	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $89.13	Professional		$24.55	$34.67	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $67.61	Professional		$58.88	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $102.33	Facility		$30.20	$30.20	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.70 / $43.65	Professional		$24.55	$25.70	$43.65