Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $72.44 / $831.76	Facility		$22.91	$72.44	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $43.65	Professional		$19.95	$25.70	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $74.13	Professional		$37.15	$58.88	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $173.78	Professional		$33.88	$53.70	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $83.18	Facility		$30.90	$37.15	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $67.61	Professional		$18.62	$30.90	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $39.81	Professional		$28.18	$37.15	$39.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $67.61	Facility		$30.90	$30.90	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $67.61	Professional		$18.62	$18.62	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $30.90	Professional		$24.55	$30.90	$30.90