Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $60.35 / $75.59	Facility		$29.53	$60.35	$75.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.09 / $74.03	Professional		$18.07	$21.09	$74.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $50.27 / $62.83	Professional		$31.80	$50.27	$62.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $47.93 / $123.35	Professional		$27.39	$47.93	$123.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $35.34 / $97.02	Facility		$27.39	$35.34	$97.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $27.39 / $63.00	Professional		$16.43	$27.39	$63.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $50.00 / $72.20	Facility		$24.63	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $48.44 / $71.48	Professional		$30.40	$48.44	$71.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.85 / $56.16	Professional		$16.43	$16.85	$56.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $27.39 / $27.39	Professional		$21.64	$27.39	$27.39