Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $54.37 / $477.18	Facility		$28.82	$54.37	$477.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $123.52	Professional		$15.17	$15.17	$123.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $34.47 / $92.51	Professional		$19.70	$34.47	$92.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $30.34 / $56.03	Facility		$19.70	$30.34	$56.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $19.70 / $53.21	Professional		$11.82	$19.70	$53.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $39.99 / $56.78	Facility		$24.04	$39.99	$56.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $39.99 / $53.21	Professional		$23.64	$39.99	$53.21
United Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $16.45 / $45.31	Professional		$11.82	$16.45	$45.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.70 / $19.70	Professional		$15.56	$19.70	$19.70