Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $89.13	Facility		$38.02	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $89.13	Professional		$38.02	$40.74	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $83.18 / $204.17	Professional		$29.51	$83.18	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $72.44 / $95.50	Facility		$1.00	$72.44	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $43.65	Professional		$24.55	$24.55	$43.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Professional		$39.81	$39.81	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $41.69	Facility		$0.03	$0.03	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $39.81	Professional		$33.88	$38.02	$39.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51