Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $115.86 / $164.00	Facility		$24.25	$115.86	$164.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $29.53 / $108.51	Professional		$17.69	$29.53	$108.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $54.34 / $78.88	Professional		$41.29	$54.34	$78.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $38.60 / $48.19	Professional		$17.14	$38.60	$48.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $51.60 / $77.31	Facility		$37.14	$51.60	$77.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $61.74 / $233.00	Professional		$31.50	$61.74	$233.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.03 / $58.40 / $71.20	Facility		$40.03	$58.40	$71.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $53.82 / $77.00	Professional		$37.63	$53.82	$77.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $52.80 / $83.43	Professional		$29.47	$52.80	$83.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $43.20 / $64.40	Professional		$36.70	$43.20	$64.40