Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $52.30 / $85.22	Facility		$28.98	$52.30	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.39 / $26.07	Professional		$17.73	$23.39	$26.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $48.96 / $61.20	Professional		$32.26	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $48.65 / $127.56	Professional		$26.88	$48.65	$127.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $34.94 / $72.20	Facility		$26.88	$34.94	$72.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $28.00 / $106.19	Professional		$16.13	$28.00	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $49.29 / $72.20	Facility		$32.26	$49.29	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $48.30 / $70.16	Professional		$32.26	$48.30	$70.16
United Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $61.82	Facility		$26.88	$26.88	$61.82
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $58.60	Professional		$16.13	$16.13	$58.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88