Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $64.25 / $167.00	Facility		$36.97	$64.25	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $19.46 / $102.35	Professional		$16.68	$19.46	$102.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $45.70 / $57.12	Professional		$28.91	$45.70	$57.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $44.22 / $152.02	Professional		$25.27	$44.22	$152.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $42.37 / $120.82	Facility		$25.27	$42.37	$120.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $25.27 / $68.72	Professional		$15.16	$25.27	$68.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $51.49 / $79.22	Facility		$30.95	$51.49	$79.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $50.36 / $68.72	Professional		$30.32	$50.36	$68.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $61.21	Professional		$15.16	$15.16	$61.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $25.27 / $25.27	Professional		$19.96	$25.27	$25.27