Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $77.91 / $156.84	Facility		$37.72	$77.91	$156.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $29.05 / $101.97	Professional		$24.90	$29.05	$101.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $68.54 / $85.68	Professional		$43.37	$68.54	$85.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $48.37 / $99.78	Professional		$37.72	$48.37	$99.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $49.05 / $150.41	Facility		$33.29	$49.05	$150.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $37.72 / $95.00	Professional		$16.05	$37.72	$95.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $57.27 / $97.05	Facility		$46.21	$57.27	$97.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $64.69 / $98.48	Professional		$45.28	$64.69	$98.48
United Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $56.60 / $56.60	Facility		$56.60	$56.60	$56.60
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.64 / $78.14	Professional		$16.05	$22.64	$78.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $37.72 / $37.72	Professional		$29.81	$37.72	$37.72