Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $80.83 / $134.05	Facility		$36.86	$80.83	$134.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $26.33 / $219.84	Professional		$22.57	$26.33	$219.84
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 $34.19 / $59.83 / $85.88	Professional		$34.19	$59.83	$85.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $48.87 / $158.21	Facility		$34.19	$48.87	$158.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $34.19 / $88.12	Professional		$20.51	$34.19	$88.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $64.29 / $97.09	Facility		$38.64	$64.29	$97.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $64.29 / $90.89	Professional		$41.03	$64.29	$90.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $26.45 / $78.64	Professional		$20.51	$26.45	$78.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $34.19 / $34.19	Professional		$27.01	$34.19	$34.19