Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $15,135.61	Facility		$30.20	$60.26	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $3,801.89 / $8,128.31	Professional		$30.20	$3,801.89	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $38.02	Professional		$30.90	$38.02	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $93.33 / $199.53	Professional		$29.51	$93.33	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $102.33	Facility		$30.90	$41.69	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $64.57	Professional		$37.15	$43.65	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $58.88	Professional		$41.69	$41.69	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $50.12	Professional		$30.20	$42.66	$50.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51