Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $127.50	Professional		$120.00	$120.00	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $162.13 / $162.13	Professional		$127.50	$162.13	$162.13
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 $120.00 / $150.00 / $562.50	Facility		$120.00	$150.00	$562.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $261.20	Professional		$150.00	$150.00	$261.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $162.13 / $162.13	Facility		$162.13	$162.13	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $162.13 / $162.13	Professional		$162.13	$162.13	$162.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $162.00	Professional		$150.00	$150.00	$162.00