Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $48.72 / $74.28	Facility		$39.93	$48.72	$74.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $21.02 / $73.78	Professional		$18.02	$21.02	$73.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $42.04 / $130.75	Professional		$27.30	$42.04	$130.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $34.51 / $82.46	Facility		$26.54	$34.51	$82.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $27.26 / $62.79	Professional		$14.41	$27.26	$62.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $45.82 / $61.00	Facility		$21.06	$45.82	$61.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $44.00 / $61.00	Professional		$27.30	$44.00	$61.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $16.38 / $59.51	Professional		$14.41	$16.38	$59.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $27.30 / $27.30	Professional		$21.57	$27.30	$27.30