Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $93.33	Facility		$30.20	$36.31	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $56.23	Professional		$30.20	$36.31	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $43.65	Professional		$34.67	$34.67	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $151.36	Professional		$45.71	$52.48	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $36.31 / $70.79	Facility		$32.36	$36.31	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $50.12	Professional		$33.88	$38.90	$50.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $75.86	Facility		$32.36	$32.36	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $40.74	Professional		$33.88	$38.90	$40.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20