Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $69.34 / $539.85	Facility		$27.47	$69.34	$539.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.62 / $68.87	Professional		$16.82	$19.62	$68.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $44.59 / $150.82	Professional		$25.48	$44.59	$150.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $42.72 / $121.47	Facility		$25.48	$42.72	$121.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $26.24 / $69.83	Professional		$15.29	$26.24	$69.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $51.92 / $79.88	Facility		$31.20	$51.92	$79.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $51.92 / $73.00	Professional		$30.60	$51.92	$73.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $58.60	Professional		$15.29	$15.29	$58.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $25.48 / $25.48	Professional		$20.13	$25.48	$25.48