Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $158.49	Facility		$41.69	$104.71	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $123.03	Professional		$74.13	$97.72	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $93.33	Professional		$43.65	$67.61	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $138.04	Facility		$51.29	$61.66	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $107.15	Professional		$21.88	$25.12	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $114.82	Facility		$51.29	$51.29	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $83.18	Professional		$21.88	$22.91	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $51.29	Professional		$40.74	$51.29	$51.29