Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $50.12 / $346.74	Facility		$26.92	$50.12	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $123.03	Professional		$22.91	$32.36	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $107.15	Facility		$100.00	$102.33	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $93.33	Professional		$38.02	$74.13	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $102.33	Professional		$28.18	$42.66	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $346.74	Facility		$38.02	$72.44	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $204.17	Professional		$27.54	$50.12	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $79.43	Professional		$53.70	$67.61	$79.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $79.43	Professional		$53.70	$57.54	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $269.15	Facility		$114.82	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $64.57	Professional		$26.92	$35.48	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10