Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $72.13 / $436.87	Facility		$28.77	$72.13	$436.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $20.55 / $72.13	Professional		$17.62	$20.55	$72.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $48.96 / $61.20	Professional		$30.98	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $43.56 / $122.12	Professional		$26.69	$43.56	$122.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $34.44 / $86.13	Facility		$26.69	$34.44	$86.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $26.69 / $61.39	Professional		$14.93	$26.69	$61.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $45.00 / $64.73	Facility		$21.82	$45.00	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $44.79 / $64.73	Professional		$27.76	$44.79	$64.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $16.01 / $49.75	Professional		$15.61	$16.01	$49.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $26.69 / $26.69	Professional		$21.09	$26.69	$26.69