Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $57.73 / $94.11	Facility		$31.99	$57.73	$94.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $22.85 / $80.20	Professional		$19.59	$22.85	$80.20
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 $29.68 / $51.94 / $211.87	Professional		$29.68	$51.94	$211.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $49.76 / $141.54	Facility		$29.68	$49.76	$141.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $29.68 / $80.91	Professional		$17.80	$29.68	$80.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $60.47 / $93.05	Facility		$35.64	$60.47	$93.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $59.36 / $80.91	Professional		$26.66	$59.36	$80.91
United Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $44.52 / $44.52	Facility		$44.52	$44.52	$44.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $24.88 / $71.90	Professional		$17.80	$24.88	$71.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $29.68 / $29.68	Professional		$23.45	$29.68	$29.68