Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $67.39 / $111.76	Facility		$30.73	$67.39	$111.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $21.95 / $77.04	Professional		$18.80	$21.95	$77.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $51.57 / $64.45	Professional		$32.63	$51.57	$64.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $49.88 / $69.38	Professional		$28.50	$49.88	$69.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $44.10 / $127.34	Facility		$28.50	$44.10	$127.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $29.22 / $73.45	Professional		$17.10	$29.22	$73.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $53.59 / $89.35	Facility		$32.21	$53.59	$89.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $52.60 / $74.39	Professional		$34.20	$52.60	$74.39
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $21.47 / $65.55	Professional		$17.10	$21.47	$65.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $28.50 / $28.50	Professional		$22.52	$28.50	$28.50