Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $55.28 / $101.20	Facility		$35.63	$55.28	$101.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $23.85 / $83.71	Professional		$20.45	$23.85	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $56.14 / $70.18	Professional		$35.52	$56.14	$70.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $54.22 / $174.76	Professional		$30.98	$54.22	$174.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $43.54 / $126.10	Facility		$30.98	$43.54	$126.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $31.91 / $78.34	Professional		$18.59	$31.91	$78.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $63.14 / $85.90	Facility		$37.94	$63.14	$85.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $63.14 / $84.24	Professional		$37.21	$63.14	$84.24
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $66.52	Professional		$18.59	$18.59	$66.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $30.98 / $30.98	Professional		$24.47	$30.98	$30.98