Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $60.26 / $104.71	Facility		$28.84	$60.26	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $173.78	Professional		$25.12	$33.11	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $109.65	Facility		$104.71	$107.15	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $91.20	Professional		$54.95	$74.13	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $245.47	Professional		$42.66	$67.61	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.77 / $102.33	Facility		$38.90	$46.77	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $89.13	Professional		$22.91	$22.91	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $154.88	Professional		$46.77	$50.12	$154.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $85.11	Facility		$38.90	$38.90	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $83.18	Professional		$22.91	$22.91	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $38.90	Professional		$30.20	$38.90	$38.90