Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $43.62 / $147.81	Facility		$33.36	$43.62	$147.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $17.55 / $115.70	Professional		$15.05	$17.55	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $34.22 / $138.15	Professional		$22.81	$34.22	$138.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $29.65 / $72.84	Facility		$22.81	$29.65	$72.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $22.81 / $58.00	Professional		$11.69	$22.81	$58.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $38.34 / $63.17	Facility		$27.95	$38.34	$63.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $46.46 / $59.53	Professional		$27.37	$46.46	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.69 / $52.46	Professional		$12.04	$13.69	$52.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $22.81 / $22.81	Professional		$18.02	$22.81	$22.81