Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $42.66 / $70.79	Facility		$35.48	$42.66	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $10,715.19	Professional		$34.67	$42.66	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $44.67	Professional		$36.31	$44.67	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $194.98	Professional		$30.20	$44.67	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $93.33	Facility		$36.31	$42.66	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $70.79	Professional		$36.31	$36.31	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $39.81	Professional		$35.48	$35.48	$39.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88