Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.11 / $229.09	Facility		$38.90	$85.11	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $323.59	Professional		$33.11	$47.86	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $123.03	Professional		$74.13	$97.72	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $295.12	Professional		$56.23	$89.13	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $144.54	Facility		$51.29	$61.66	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $141.25	Professional		$30.90	$51.29	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Professional		$61.66	$61.66	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $112.20	Facility		$51.29	$51.29	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $123.03	Professional		$30.90	$43.65	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $51.29	Professional		$40.74	$51.29	$51.29