Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $66.53 / $166.05	Facility		$32.52	$66.53	$166.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $32.52 / $237.60	Professional		$17.12	$32.52	$237.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $40.47 / $50.59	Professional		$25.61	$40.47	$50.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $38.90 / $102.98	Professional		$22.23	$38.90	$102.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $34.56 / $106.14	Facility		$22.23	$34.56	$106.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $22.90 / $60.96	Professional		$13.34	$22.90	$60.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $45.31 / $69.69	Facility		$27.23	$45.31	$69.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $45.31 / $60.96	Professional		$26.70	$45.31	$60.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $18.16 / $53.87	Professional		$13.34	$18.16	$53.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $22.23 / $22.23	Professional		$17.55	$22.23	$22.23