Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $51.30 / $163.00	Facility		$31.74	$51.30	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.71 / $113.03	Professional		$14.32	$16.71	$113.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.17 / $48.96	Professional		$24.78	$39.17	$48.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $37.97 / $150.00	Professional		$21.70	$37.97	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $36.36 / $104.29	Facility		$21.70	$36.36	$104.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $22.35 / $59.86	Professional		$13.02	$22.35	$59.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $44.21 / $68.03	Facility		$26.58	$44.21	$68.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $44.21 / $62.16	Professional		$26.04	$44.21	$62.16
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $18.18 / $54.88	Professional		$13.02	$18.18	$54.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $21.70 / $21.70	Professional		$17.14	$21.70	$21.70