Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $53.24 / $170.56	Facility		$31.02	$53.24	$170.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.32 / $31.41	Professional		$14.00	$16.32	$31.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $37.11 / $93.58	Professional		$21.21	$37.11	$93.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $27.60 / $83.30	Facility		$21.21	$27.60	$83.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $21.21 / $47.40	Professional		$12.73	$21.21	$47.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $38.89 / $58.52	Facility		$20.14	$38.89	$58.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $38.00 / $55.36	Professional		$22.06	$38.00	$55.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $13.80 / $53.64	Professional		$12.73	$13.80	$53.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $21.21 / $21.21	Professional		$16.76	$21.21	$21.21