Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $58.13 / $82.39	Facility		$32.17	$58.13	$82.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $22.98 / $39.00	Professional		$19.70	$22.98	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $54.18 / $67.73	Professional		$34.28	$54.18	$67.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $44.84 / $132.62	Professional		$29.85	$44.84	$132.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $38.81 / $97.05	Facility		$29.85	$38.81	$97.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $29.85 / $75.48	Professional		$15.58	$29.85	$75.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $53.16 / $82.02	Facility		$36.56	$53.16	$82.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $60.80 / $77.91	Professional		$35.82	$60.80	$77.91
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.91 / $61.35	Professional		$16.05	$17.91	$61.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $29.85 / $29.85	Professional		$23.58	$29.85	$29.85