Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $93.90 / $111.71	Facility		$54.49	$93.90	$111.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $27.52 / $35.22	Professional		$12.00	$27.52	$35.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $64.63 / $80.78	Professional		$40.89	$64.63	$80.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $62.55 / $82.09	Professional		$35.74	$62.55	$82.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $46.13 / $128.91	Facility		$35.74	$46.13	$128.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $35.74 / $82.20	Professional		$21.44	$35.74	$82.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $65.54 / $95.84	Facility		$32.79	$65.54	$95.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $59.71 / $93.28	Professional		$32.79	$59.71	$93.28
United Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $35.74 / $82.20	Facility		$35.74	$35.74	$82.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $21.86 / $77.91	Professional		$21.44	$21.86	$77.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $35.74 / $35.74	Professional		$28.23	$35.74	$35.74