Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.02 / $21.27	Professional		$20.02	$20.02	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $26.54 / $26.54	Professional		$21.27	$26.54	$26.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $25.02 / $93.83	Facility		$20.02	$25.02	$93.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $29.00	Professional		$21.48	$21.48	$29.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Facility		$26.54	$26.54	$26.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Professional		$26.54	$26.54	$26.54
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $25.02	Professional		$21.48	$21.48	$25.02