Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $87.10	Facility		$21.88	$56.23	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $37.15	Professional		$19.05	$25.12	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $70.79	Professional		$38.02	$57.54	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $144.54	Professional		$29.51	$52.48	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $74.13	Facility		$29.51	$38.02	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $35.48 / $112.20	Professional		$17.38	$35.48	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $38.02	Professional		$35.48	$35.48	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $69.18	Facility		$29.51	$29.51	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $75.86	Professional		$16.98	$17.78	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51