Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $61.26 / $449.86	Facility		$27.81	$61.26	$449.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $18.55 / $151.31	Professional		$15.90	$18.55	$151.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $43.74 / $54.67	Professional		$27.67	$43.74	$54.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $42.16 / $69.45	Professional		$24.09	$42.16	$69.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $31.32 / $114.43	Facility		$24.09	$31.32	$114.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.09 / $55.41	Professional		$14.45	$24.09	$55.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $44.18 / $64.73	Facility		$22.12	$44.18	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $43.36 / $62.87	Professional		$27.30	$43.36	$62.87
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $52.52	Professional		$14.45	$15.14	$52.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $24.09 / $24.09	Professional		$19.03	$24.09	$24.09