Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $52.26 / $101.20	Facility		$33.67	$52.26	$101.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.55 / $79.15	Professional		$19.32	$22.55	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $53.53 / $66.91	Professional		$33.86	$53.53	$66.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $51.24 / $107.31	Professional		$29.28	$51.24	$107.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $43.54 / $126.10	Facility		$29.28	$43.54	$126.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $30.16 / $74.05	Professional		$17.57	$30.16	$74.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $59.65 / $85.90	Facility		$35.86	$59.65	$85.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $59.65 / $79.81	Professional		$35.17	$59.65	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $19.97 / $74.05	Professional		$17.57	$19.97	$74.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $29.28 / $29.28	Professional		$23.13	$29.28	$29.28