Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $408.00	Professional		$384.00	$384.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $480.40 / $480.40	Professional		$408.00	$480.40	$480.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $388.69 / $476.77	Professional		$150.00	$388.69	$476.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $480.00 / $652.79	Facility		$384.00	$480.00	$652.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $960.00	Professional		$480.00	$480.00	$960.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Facility		$480.40	$480.40	$480.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Professional		$480.40	$480.40	$480.40
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $518.40	Professional		$480.00	$480.00	$518.40