Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $61.14 / $62.97	Facility		$34.14	$61.14	$62.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $37.96 / $69.59	Professional		$21.48	$37.96	$69.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $25.92 / $29.67	Professional		$23.74	$25.92	$29.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.29 / $136.56	Professional		$21.48	$33.29	$136.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $27.97 / $61.14	Facility		$22.00	$27.97	$61.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.62 / $39.39	Professional		$22.00	$22.62	$39.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $35.97 / $55.99	Facility		$24.90	$35.97	$55.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $27.60 / $45.18	Professional		$18.05	$27.60	$45.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $22.12	Professional		$21.48	$21.48	$22.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $22.62 / $22.62	Facility		$22.62	$22.62	$22.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $22.62	Professional		$22.62	$22.62	$22.62