Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $42.14 / $48.67	Facility		$28.60	$42.14	$48.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $27.74 / $3,374.35	Professional		$22.02	$27.74	$3,374.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.01 / $26.53	Professional		$21.23	$24.01	$26.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $39.86 / $91.41	Professional		$22.02	$39.86	$91.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $24.99 / $42.14	Facility		$18.95	$24.99	$42.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $27.28	Professional		$18.95	$18.95	$27.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $31.16 / $47.72	Facility		$22.74	$31.16	$47.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $24.99 / $31.16	Professional		$22.74	$24.99	$31.16
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.46	Professional		$22.02	$22.02	$22.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Professional		$18.95	$18.95	$18.95