Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $66.07 / $97.72	Facility		$26.92	$66.07	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $34.67	Professional		$23.99	$28.18	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $97.72 / $100.00	Facility		$95.50	$97.72	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $151.36	Professional		$29.51	$47.86	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $89.13	Facility		$35.48	$41.69	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $141.25	Professional		$20.89	$35.48	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Facility		$35.48	$35.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $89.13	Professional		$20.89	$20.89	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48