Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $93.33	Facility		$46.77	$58.88	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $58.88	Professional		$45.71	$48.98	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $51.29	Professional		$40.74	$40.74	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $50.12 / $151.36	Professional		$17.78	$50.12	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.12 / $63.10	Facility		$16.98	$50.12	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $64.57	Professional		$26.92	$48.98	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $50.12	Professional		$29.51	$29.51	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Professional		$48.98	$48.98	$50.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98