Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $58.88 / $257.04	Facility		$17.38	$58.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $34.67 / $151.36	Professional		$12.02	$34.67	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $41.69	Professional		$24.55	$33.11	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $97.72	Professional		$19.05	$30.20	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $66.07	Facility		$17.38	$20.89	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $38.02	Professional		$10.47	$10.47	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $67.61	Professional		$20.89	$22.39	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $38.02	Facility		$17.38	$17.38	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $38.02	Professional		$10.47	$10.47	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $17.38	Professional		$13.49	$17.38	$17.38