Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $107.15 / $281.84	Facility		$39.81	$107.15	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $112.20	Professional		$18.20	$21.88	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $63.10	Professional		$31.62	$50.12	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $63.10	Professional		$26.30	$41.69	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.88 / $128.82	Facility		$26.30	$33.88	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $57.54	Professional		$13.18	$26.30	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $107.15	Professional		$23.44	$33.88	$107.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $57.54	Facility		$26.30	$26.30	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $56.23	Professional		$13.18	$15.49	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $26.30	Professional		$20.42	$26.30	$26.30