Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $61.66 / $223.87	Facility		$22.91	$61.66	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $42.66	Professional		$20.89	$25.70	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $61.66 / $64.57	Facility		$60.26	$61.66	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $70.79	Professional		$42.66	$57.54	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $151.36	Professional		$30.20	$54.95	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $37.15 / $79.43	Facility		$20.89	$37.15	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $60.26	Professional		$17.78	$26.92	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $36.31 / $61.66	Professional		$16.98	$36.31	$61.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $64.57 / $64.57	Facility		$16.98	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $66.07	Facility		$20.42	$30.20	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $58.88	Professional		$17.78	$17.78	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $30.20	Professional		$23.44	$30.20	$30.20