Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $93.33	Facility		$25.70	$64.57	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.70 / $33.88	Professional		$10.00	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $81.28	Professional		$48.98	$66.07	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $151.36	Professional		$28.84	$44.67	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $91.20	Facility		$33.88	$40.74	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $79.43	Professional		$20.42	$22.39	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $75.86	Facility		$33.88	$33.88	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $75.86	Professional		$20.42	$20.89	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $33.88	Professional		$26.92	$33.88	$33.88