Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $60.39 / $97.71	Facility		$27.54	$60.39	$97.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.67 / $69.04	Professional		$16.86	$19.67	$69.04
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 $25.55 / $44.71 / $158.00	Professional		$25.55	$44.71	$158.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $39.20 / $121.24	Facility		$25.55	$39.20	$121.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $26.32 / $66.23	Professional		$15.33	$26.32	$66.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $50.93 / $80.09	Facility		$30.63	$50.93	$80.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $50.93 / $68.72	Professional		$30.66	$50.93	$68.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $19.28 / $60.56	Professional		$15.33	$19.28	$60.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $25.55 / $25.55	Professional		$20.18	$25.55	$25.55