Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $67.64 / $272.06	Facility		$30.81	$67.64	$272.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $20.63 / $86.40	Professional		$17.68	$20.63	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $48.96 / $61.20	Professional		$30.98	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $46.88 / $163.99	Professional		$26.79	$46.88	$163.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $44.89 / $128.00	Facility		$26.79	$44.89	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.59 / $73.15	Professional		$16.07	$27.59	$73.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $54.58 / $83.99	Facility		$32.81	$54.58	$83.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $53.59 / $73.15	Professional		$32.15	$53.59	$73.15
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.45 / $64.90	Professional		$16.07	$22.45	$64.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $26.79 / $26.79	Professional		$21.16	$26.79	$26.79