Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $87.10 / $707.95	Facility		$28.18	$87.10	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $72.44	Professional		$23.99	$30.90	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $87.10	Professional		$52.48	$70.79	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $138.04 / $173.78	Professional		$36.31	$138.04	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $47.86 / $154.88	Facility		$36.31	$47.86	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $48.98 / $141.25	Professional		$21.88	$48.98	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $69.18	Professional		$43.65	$46.77	$69.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Facility		$36.31	$36.31	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $89.13	Professional		$21.88	$36.31	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Professional		$28.84	$36.31	$36.31