Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $65.51 / $69.20	Facility		$33.09	$65.51	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $20.48	Professional		$18.62	$18.62	$20.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $17.96 / $19.69	Professional		$15.75	$17.96	$19.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $37.50 / $150.00	Professional		$31.14	$37.50	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $17.96 / $31.47	Facility		$15.40	$17.96	$31.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.04 / $24.89	Professional		$18.62	$21.04	$24.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $20.13 / $28.42	Facility		$15.40	$20.13	$28.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $20.13 / $30.94	Professional		$15.40	$20.13	$30.94
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.04 / $21.97	Professional		$18.62	$21.04	$21.97