Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $78.56 / $121.52	Facility		$44.03	$78.56	$121.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $33.90 / $118.99	Professional		$29.06	$33.90	$118.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $79.64 / $99.55	Professional		$50.39	$79.64	$99.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $55.04 / $181.33	Professional		$44.03	$55.04	$181.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $52.84 / $97.31	Facility		$27.81	$52.84	$97.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.09 / $96.50	Professional		$15.14	$33.09	$96.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $57.24 / $96.50	Facility		$22.12	$57.24	$96.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $56.82 / $96.50	Professional		$30.96	$56.82	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $26.42 / $81.42	Professional		$15.34	$26.42	$81.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $44.03 / $44.03	Professional		$34.78	$44.03	$44.03