Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $55.11 / $93.10	Facility		$43.84	$55.11	$93.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $34.02 / $3,775.98	Professional		$27.00	$34.02	$3,775.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $27.53 / $27.53	Facility		$27.53	$27.53	$27.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $33.40 / $35.47	Professional		$28.39	$33.40	$35.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $55.15 / $170.70	Professional		$27.00	$55.15	$170.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $33.40 / $90.41	Facility		$25.05	$33.40	$90.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $45.24	Professional		$25.05	$25.05	$45.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $43.33 / $67.65	Facility		$30.06	$43.33	$67.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $39.39 / $109.85	Professional		$29.94	$39.39	$109.85
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.81	Professional		$27.00	$27.00	$27.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Facility		$25.05	$25.05	$25.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05