Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $59.92 / $281.07	Facility		$22.17	$59.92	$281.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.07 / $142.55	Professional		$14.63	$17.07	$142.55
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 $22.17 / $38.79 / $94.72	Professional		$22.17	$38.79	$94.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $30.28 / $87.34	Facility		$22.17	$30.28	$87.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $22.17 / $52.02	Professional		$13.30	$22.17	$52.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $40.65 / $64.73	Facility		$22.12	$40.65	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $40.65 / $57.86	Professional		$26.60	$40.65	$57.86
United Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $15.14 / $50.43	Professional		$13.30	$15.14	$50.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $22.17 / $22.17	Professional		$17.51	$22.17	$22.17