Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $29.53 / $9,933.50	Facility		$29.53	$29.53	$9,933.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $29.53 / $11,191.32	Professional		$24.00	$29.53	$11,191.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Facility		$24.45	$24.45	$24.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $25.17 / $31.03	Professional		$24.83	$25.17	$31.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $24.00 / $46.18	Professional		$21.67	$24.00	$46.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $28.60 / $34.32	Facility		$12.00	$28.60	$34.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $24.13 / $35.82	Professional		$18.29	$24.13	$35.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $35.82 / $51.35	Facility		$23.31	$35.82	$51.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $28.60 / $40.77	Professional		$13.87	$28.60	$40.77
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.48	Professional		$24.00	$24.00	$24.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Facility		$24.13	$24.13	$24.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Professional		$24.13	$24.13	$24.13