Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $223.87	Facility		$28.84	$45.71	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $48.98	Professional		$28.84	$30.90	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $37.15	Professional		$29.51	$35.48	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $208.93	Professional		$23.99	$30.20	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $45.71 / $57.54	Facility		$5.01	$45.71	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.54 / $48.98	Professional		$16.98	$27.54	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Professional		$39.81	$39.81	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $48.98	Facility		$0.03	$0.03	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $30.20	Professional		$28.84	$28.84	$30.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20