Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $56.47 / $5,550.16	Facility		$32.39	$56.47	$5,550.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $1,620.72 / $4,669.50	Professional		$29.38	$1,620.72	$4,669.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $28.31 / $35.39	Professional		$28.31	$28.31	$35.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $29.38 / $48.76	Professional		$22.88	$29.38	$48.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $29.24 / $35.95	Facility		$27.71	$29.24	$35.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $31.53 / $36.39	Professional		$24.85	$31.53	$36.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $41.49 / $55.32	Facility		$27.71	$41.49	$55.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $31.53 / $41.48	Professional		$17.27	$31.53	$41.48
United Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $34.96	Professional		$29.38	$29.38	$34.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $29.24 / $29.24	Facility		$29.24	$29.24	$29.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $29.24	Professional		$29.24	$29.24	$29.24