Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $54.74 / $87.03	Facility		$28.73	$54.74	$87.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $20.52 / $72.03	Professional		$17.59	$20.52	$72.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $48.31 / $60.38	Professional		$30.56	$48.31	$60.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $46.64 / $76.62	Professional		$26.65	$46.64	$76.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $37.11 / $108.42	Facility		$26.65	$37.11	$108.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $27.33 / $67.40	Professional		$15.99	$27.33	$67.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $50.12 / $73.45	Facility		$30.12	$50.12	$73.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $49.83 / $69.56	Professional		$30.12	$49.83	$69.56
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $16.39 / $57.21	Professional		$15.99	$16.39	$57.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.65 / $26.65	Professional		$21.05	$26.65	$26.65