Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $60.00 / $126.24	Facility		$34.72	$60.00	$126.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.55 / $158.40	Professional		$19.32	$22.55	$158.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $53.53 / $66.91	Professional		$33.86	$53.53	$66.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $51.24 / $179.55	Professional		$29.28	$51.24	$179.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $49.08 / $140.34	Facility		$29.28	$49.08	$140.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $30.16 / $79.81	Professional		$17.57	$30.16	$79.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $59.65 / $91.79	Facility		$35.86	$59.65	$91.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $59.65 / $83.87	Professional		$35.17	$59.65	$83.87
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $24.54 / $131.99	Professional		$17.57	$24.54	$131.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $29.28 / $29.28	Professional		$23.13	$29.28	$29.28