Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $62.01 / $100.20	Facility		$28.28	$62.01	$100.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.20 / $70.90	Professional		$17.32	$20.20	$70.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $47.65 / $59.57	Professional		$30.15	$47.65	$59.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $39.36 / $62.20	Professional		$23.43	$39.36	$62.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $36.65 / $113.97	Facility		$26.24	$36.65	$113.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $26.24 / $66.36	Professional		$15.74	$26.24	$66.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $48.12 / $82.26	Facility		$28.88	$48.12	$82.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $48.12 / $68.48	Professional		$31.49	$48.12	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $60.35	Professional		$15.74	$15.74	$60.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $26.24 / $26.24	Professional		$20.73	$26.24	$26.24