Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $37.94 / $13,289.07	Facility		$22.66	$37.94	$13,289.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $22.18 / $9,600.00	Professional		$19.97	$22.18	$9,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Facility		$20.36	$20.36	$20.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $24.61	Professional		$19.69	$19.69	$24.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $34.61 / $63.74	Professional		$19.97	$34.61	$63.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $22.66 / $29.75	Facility		$19.85	$22.66	$29.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $28.98	Professional		$19.85	$19.85	$28.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $28.98 / $45.40	Facility		$22.03	$28.98	$45.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $23.19 / $28.98	Professional		$21.68	$23.19	$28.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.57	Professional		$19.97	$19.97	$20.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Facility		$19.85	$19.85	$19.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Professional		$19.85	$19.85	$19.85