Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Facility		$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Professional		$85.50	$85.50	$85.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $169.00 / $169.00	Facility		$169.00	$169.00	$169.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $149.63	Facility		$85.50	$85.50	$149.63