Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $68.84 / $104.96	Facility		$41.58	$68.84	$104.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $29.70 / $104.25	Professional		$25.46	$29.70	$104.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $69.84 / $87.31	Professional		$44.19	$69.84	$87.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $55.93 / $69.81	Professional		$34.93	$55.93	$69.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $46.28 / $88.71	Facility		$18.98	$46.28	$88.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $28.35 / $79.45	Professional		$11.58	$28.35	$79.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $50.35 / $84.53	Facility		$17.32	$50.35	$84.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $50.35 / $84.53	Professional		$31.54	$50.35	$84.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $23.14 / $62.28	Professional		$11.58	$23.14	$62.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $38.57 / $38.57	Professional		$30.47	$38.57	$38.57