Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $116.81 / $213.75	Facility		$27.26	$116.81	$213.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.35 / $68.80	Professional		$12.30	$14.35	$68.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $27.96 / $108.62	Professional		$20.50	$27.96	$108.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $34.09 / $108.12	Facility		$18.64	$34.09	$108.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $47.14	Professional		$11.18	$11.18	$47.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.09 / $70.04	Facility		$22.39	$34.09	$70.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $34.09 / $48.65	Professional		$22.37	$34.09	$48.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $38.17	Professional		$11.18	$11.18	$38.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.64 / $18.64	Professional		$14.73	$18.64	$18.64