Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $79.43 / $120.23	Facility		$32.36	$79.43	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $83.18	Professional		$28.84	$37.15	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $100.00	Professional		$53.70	$79.43	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $102.33 / $346.74	Professional		$41.69	$102.33	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $128.82	Facility		$41.69	$58.88	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $234.42	Professional		$25.12	$53.70	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Professional		$50.12	$50.12	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $95.50	Facility		$41.69	$41.69	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $114.82	Professional		$25.12	$25.70	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69