Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $60.74 / $86.17	Facility		$33.65	$60.74	$86.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $27.16 / $30.28	Professional		$20.61	$27.16	$30.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $56.79 / $70.98	Professional		$37.46	$56.79	$70.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $51.51 / $109.88	Professional		$31.22	$51.51	$109.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $40.28 / $74.01	Facility		$31.18	$40.28	$74.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $32.15 / $106.19	Professional		$17.55	$32.15	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $50.00 / $72.20	Facility		$37.46	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $50.00 / $72.20	Professional		$34.39	$50.00	$72.20
United Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $31.22 / $71.81	Facility		$31.22	$31.22	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $18.73 / $57.76	Professional		$16.80	$18.73	$57.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $31.22	Professional		$31.22	$31.22	$31.22