Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $68.73 / $106.48	Facility		$31.35	$68.73	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $22.39 / $78.59	Professional		$19.19	$22.39	$78.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $52.88 / $66.09	Professional		$33.45	$52.88	$66.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $50.89 / $150.00	Professional		$29.08	$50.89	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $42.01 / $121.24	Facility		$29.08	$42.01	$121.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $29.08 / $72.18	Professional		$17.45	$29.08	$72.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $53.33 / $89.63	Facility		$30.69	$53.33	$89.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $53.33 / $75.90	Professional		$34.90	$53.33	$75.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $20.46 / $66.88	Professional		$17.45	$20.46	$66.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $29.08 / $29.08	Professional		$22.97	$29.08	$29.08