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 $26.92 / $36.31 / $138.04	Professional		$26.92	$36.31	$138.04
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 / $87.10 / $144.54	Professional		$41.69	$87.10	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $112.20	Facility		$41.69	$54.95	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $194.98	Professional		$25.12	$53.70	$194.98
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 / $25.12 / $104.71	Professional		$25.12	$25.12	$104.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69