Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $97.72 / $147.91	Facility		$38.90	$97.72	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $79.43	Professional		$33.11	$43.65	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $123.03	Professional		$66.07	$97.72	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $125.89	Professional		$50.12	$72.44	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $154.88	Facility		$51.29	$66.07	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $269.15	Professional		$30.90	$63.10	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Professional		$61.66	$61.66	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $117.49	Facility		$51.29	$51.29	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $141.25	Professional		$30.90	$31.62	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29