Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $93.33	Facility		$25.70	$64.57	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $67.61	Professional		$21.88	$28.18	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $81.28	Professional		$40.74	$66.07	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $169.82	Professional		$33.88	$60.26	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $87.10	Facility		$33.88	$40.74	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $74.13	Professional		$20.42	$33.88	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $43.65	Professional		$30.20	$40.74	$43.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $74.13	Facility		$33.88	$33.88	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $74.13	Professional		$20.42	$20.89	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $33.88	Professional		$26.92	$33.88	$33.88