Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $59.98 / $186.87	Facility		$33.61	$59.98	$186.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $17.69 / $38.60	Professional		$15.16	$17.69	$38.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $34.46 / $224.82	Professional		$25.27	$34.46	$224.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $29.63 / $109.11	Facility		$22.97	$29.63	$109.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $52.83	Professional		$13.78	$13.78	$52.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $40.20 / $88.18	Facility		$27.59	$40.20	$88.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $40.20 / $50.34	Professional		$27.56	$40.20	$50.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $47.03	Professional		$13.78	$13.78	$47.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $22.97 / $22.97	Professional		$18.14	$22.97	$22.97