Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $68.15 / $97.36	Facility		$31.08	$68.15	$97.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $22.20 / $77.92	Professional		$19.03	$22.20	$77.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $52.22 / $65.28	Professional		$33.04	$52.22	$65.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $50.45 / $202.30	Professional		$28.83	$50.45	$202.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $42.26 / $121.34	Facility		$28.83	$42.26	$121.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $29.69 / $72.91	Professional		$17.30	$29.69	$72.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $58.75 / $83.40	Facility		$35.32	$58.75	$83.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $58.75 / $78.69	Professional		$34.61	$58.75	$78.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $19.21 / $66.31	Professional		$17.30	$19.21	$66.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $28.83 / $28.83	Professional		$22.78	$28.83	$28.83