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 $60.26 / $81.28 / $102.33	Professional		$60.26	$81.28	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $75.86	Professional		$36.31	$54.95	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $112.20	Facility		$42.66	$51.29	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $97.72	Professional		$21.88	$25.12	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $93.33	Facility		$42.66	$42.66	$93.33
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 $33.11 / $42.66 / $42.66	Professional		$33.11	$42.66	$42.66