Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $70.73 / $153.33	Facility		$32.26	$70.73	$153.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $23.04 / $80.87	Professional		$19.75	$23.04	$80.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $62.07 / $63.88	Facility		$60.26	$62.07	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $54.18 / $67.73	Professional		$34.28	$54.18	$67.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $52.36 / $139.38	Professional		$29.92	$52.36	$139.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $38.61 / $163.33	Facility		$21.01	$38.61	$163.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $21.02 / $62.08	Professional		$17.95	$21.02	$62.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $33.83 / $62.07	Facility		$17.05	$33.83	$62.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $35.93 / $59.99	Professional		$20.57	$35.93	$59.99
United Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Facility		$29.92	$29.92	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $18.79 / $58.65	Professional		$17.95	$18.79	$58.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $29.92 / $29.92	Professional		$23.64	$29.92	$29.92