Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $67.98 / $115.88	Facility		$45.96	$67.98	$115.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $39.17 / $5,714.28	Professional		$31.09	$39.17	$5,714.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $20.78 / $20.78	Facility		$20.78	$20.78	$20.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $25.17	Professional		$20.14	$20.14	$25.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $36.60 / $128.44	Professional		$20.41	$36.60	$128.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.70 / $60.00	Facility		$20.89	$23.70	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $38.19	Professional		$36.00	$36.00	$38.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $38.32 / $54.86	Facility		$25.77	$38.32	$54.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $51.02 / $54.86	Professional		$23.70	$51.02	$54.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $35.72	Professional		$34.68	$34.68	$35.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.88 / $35.88 / $35.88	Facility		$35.88	$35.88	$35.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $35.88 / $35.88	Professional		$35.88	$35.88	$35.88