Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Facility		$39.81	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $48.98	Professional		$36.31	$38.90	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $60.26	Professional		$47.86	$58.88	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $107.15	Professional		$38.02	$67.61	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $97.72 / $218.78	Facility		$38.90	$97.72	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $109.65	Professional		$42.66	$70.79	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $97.72	Professional		$52.48	$61.66	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $104.71	Professional		$42.66	$70.79	$104.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $70.79	Professional		$46.77	$58.88	$70.79