Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $181.97	Facility		$38.02	$89.13	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $40.74 / $162.18	Professional		$18.20	$40.74	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $61.66	Professional		$31.62	$50.12	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $63.10 / $95.50	Professional		$25.70	$63.10	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $117.49	Facility		$25.70	$39.81	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $67.61	Professional		$15.49	$28.84	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $275.42	Professional		$30.90	$33.11	$275.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $57.54	Facility		$25.70	$25.70	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $63.10	Professional		$15.49	$21.88	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $25.70	Professional		$20.42	$25.70	$25.70