Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $68.27 / $95.49	Facility		$35.09	$68.27	$95.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $27.02 / $34.04	Professional		$23.16	$27.02	$34.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $97.58 / $100.42	Facility		$94.74	$97.58	$100.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $63.32 / $79.15	Professional		$42.11	$63.32	$79.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $52.64 / $179.36	Professional		$38.60	$52.64	$179.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $45.28 / $89.83	Facility		$35.09	$45.28	$89.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $23.55 / $137.97	Professional		$21.05	$23.55	$137.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $64.17 / $97.58	Facility		$42.11	$64.17	$97.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $64.17 / $91.58	Professional		$42.11	$64.17	$91.58
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $80.70	Facility		$35.09	$35.09	$80.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $76.50	Professional		$21.05	$21.05	$76.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09