Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $105.27 / $121.66	Facility		$39.47	$105.27	$121.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $25.64 / $25.64	Professional		$22.05	$25.64	$25.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $62.83 / $139.51	Professional		$50.27	$62.83	$139.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $18.39 / $82.64	Professional		$12.03	$18.39	$82.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $51.45 / $417.03	Facility		$26.67	$51.45	$417.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $28.44 / $83.16	Professional		$12.80	$28.44	$83.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $51.45 / $90.53	Facility		$24.14	$51.45	$90.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $51.45 / $97.08	Professional		$28.44	$51.45	$97.08
United Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $223.74 / $223.74	Facility		$223.74	$223.74	$223.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $21.21 / $60.26	Professional		$12.91	$21.21	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40