Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $88.59 / $284.85	Facility		$40.86	$88.59	$284.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $39.59 / $180.00	Professional		$21.51	$39.59	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $50.27 / $62.83	Professional		$31.80	$50.27	$62.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $48.90 / $123.28	Professional		$27.94	$48.90	$123.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $43.28 / $133.26	Facility		$27.94	$43.28	$133.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $27.94 / $72.92	Professional		$16.76	$27.94	$72.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $46.88 / $87.59	Facility		$34.22	$46.88	$87.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $56.91 / $76.48	Professional		$33.54	$56.91	$76.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $22.81 / $64.26	Professional		$16.76	$22.81	$64.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $27.94 / $27.94	Professional		$22.07	$27.94	$27.94