Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $102.33	Facility		$51.29	$64.57	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $64.57	Professional		$51.29	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $151.36	Professional		$38.02	$42.66	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $67.61 / $117.49	Facility		$1.00	$67.61	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $77.62	Professional		$38.90	$56.23	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Facility		$0.06	$0.06	$0.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Professional		$56.23	$56.23	$57.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23