Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $64.40 / $93.64	Facility		$35.01	$64.40	$93.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $22.74 / $79.81	Professional		$19.48	$22.74	$79.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $53.53 / $66.91	Professional		$33.86	$53.53	$66.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.68 / $141.85	Professional		$29.53	$51.68	$141.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $49.51 / $143.10	Facility		$29.53	$49.51	$143.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $30.42 / $80.91	Professional		$17.72	$30.42	$80.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $60.16 / $92.58	Facility		$36.17	$60.16	$92.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $60.16 / $84.61	Professional		$35.47	$60.16	$84.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $19.69 / $67.92	Professional		$17.72	$19.69	$67.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $29.53 / $29.53	Professional		$23.33	$29.53	$29.53