Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $37.44 / $14,308.04	Facility		$33.29	$37.44	$14,308.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $37.44 / $10,560.00	Professional		$21.31	$37.44	$10,560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $22.94 / $26.95	Professional		$21.56	$22.94	$26.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.84 / $56.41	Professional		$21.31	$22.84	$56.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $25.39 / $37.44	Facility		$22.06	$25.39	$37.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $32.51	Professional		$22.06	$22.06	$32.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $32.51 / $50.92	Facility		$24.79	$32.51	$50.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $26.07 / $51.62	Professional		$23.55	$26.07	$51.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.95	Professional		$21.31	$21.31	$21.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Facility		$22.06	$22.06	$22.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Professional		$22.06	$22.06	$22.06