Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $53.23 / $95.68	Facility		$24.28	$53.23	$95.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.34 / $60.86	Professional		$14.86	$17.34	$60.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $41.13 / $51.41	Professional		$26.02	$41.13	$51.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $39.40 / $144.32	Professional		$22.52	$39.40	$144.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $37.74 / $109.14	Facility		$22.52	$37.74	$109.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $22.52 / $62.08	Professional		$13.51	$22.52	$62.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $45.88 / $70.59	Facility		$27.58	$45.88	$70.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $45.88 / $64.51	Professional		$27.02	$45.88	$64.51
United Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $15.01 / $51.80	Professional		$13.51	$15.01	$51.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $22.52 / $22.52	Professional		$17.79	$22.52	$22.52