Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $78.70 / $105.48	Facility		$36.50	$78.70	$105.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $26.07 / $91.51	Professional		$22.35	$26.07	$91.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $62.02 / $77.52	Professional		$39.24	$62.02	$77.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $59.26 / $165.29	Professional		$33.86	$59.26	$165.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $44.02 / $124.50	Facility		$33.86	$44.02	$124.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $33.86 / $77.88	Professional		$20.32	$33.86	$77.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $62.00 / $77.19	Facility		$30.40	$62.00	$77.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $60.95 / $77.19	Professional		$37.53	$60.95	$77.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $73.81	Professional		$20.32	$20.32	$73.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $33.86 / $33.86	Professional		$26.75	$33.86	$33.86