Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $57.27 / $76.75	Facility		$29.22	$57.27	$76.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.87 / $73.25	Professional		$17.89	$20.87	$73.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $40.67 / $49.07	Professional		$27.11	$40.67	$49.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $34.97 / $86.91	Facility		$24.25	$34.97	$86.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $24.63 / $62.35	Professional		$14.78	$24.63	$62.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $48.88 / $59.41	Facility		$22.12	$48.88	$59.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $48.88 / $69.13	Professional		$32.53	$48.88	$69.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $16.27 / $59.10	Professional		$14.78	$16.27	$59.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $27.11 / $27.11	Professional		$21.42	$27.11	$27.11