Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $89.13 / $158.49	Facility		$28.84	$89.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $208.93	Professional		$23.99	$34.67	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $91.20	Professional		$45.71	$72.44	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $141.25	Professional		$38.02	$54.95	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $48.98 / $100.00	Facility		$38.02	$48.98	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $38.02 / $95.50	Professional		$16.22	$38.02	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $48.98	Professional		$45.71	$45.71	$48.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $83.18	Facility		$38.02	$38.02	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $77.62	Professional		$15.49	$22.39	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $38.02	Professional		$29.51	$38.02	$38.02