Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $101.98 / $780.38	Facility		$49.52	$101.98	$780.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $32.15 / $203.80	Professional		$27.57	$32.15	$203.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $75.72 / $94.66	Professional		$47.91	$75.72	$94.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $54.30 / $213.06	Professional		$41.77	$54.30	$213.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $50.17 / $120.08	Facility		$37.04	$50.17	$120.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $37.59 / $91.54	Professional		$17.07	$37.59	$91.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $58.51 / $91.54	Facility		$30.56	$58.51	$91.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $60.13 / $91.54	Professional		$41.77	$60.13	$91.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $105.64	Professional		$17.54	$25.06	$105.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $41.77 / $41.77	Professional		$33.00	$41.77	$41.77