Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $56.97 / $80.81	Facility		$29.28	$56.97	$80.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.55 / $32.60	Professional		$19.32	$22.55	$32.60
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 $32.21 / $43.92 / $191.98	Professional		$32.21	$43.92	$191.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $37.79 / $127.98	Facility		$29.28	$37.79	$127.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $21.83 / $76.42	Professional		$17.57	$21.83	$76.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $60.32 / $127.98	Facility		$35.17	$60.32	$127.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $59.65 / $76.42	Professional		$35.14	$59.65	$76.42
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $66.61	Professional		$17.57	$17.57	$66.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $29.28 / $29.28	Professional		$23.13	$29.28	$29.28