Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $66.04 / $233.39	Facility		$30.11	$66.04	$233.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $21.51 / $21.51	Professional		$18.44	$21.51	$21.51
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 $30.73 / $41.91 / $131.35	Professional		$30.73	$41.91	$131.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $36.06 / $104.98	Facility		$27.94	$36.06	$104.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $70.66	Professional		$16.76	$16.76	$70.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $51.10 / $104.98	Facility		$33.54	$51.10	$104.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $51.10 / $72.92	Professional		$33.53	$51.10	$72.92
United Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $60.91	Professional		$16.76	$16.76	$60.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $27.94 / $27.94	Professional		$22.07	$27.94	$27.94