Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $75.59 / $266.00	Facility		$41.11	$75.59	$266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.64 / $126.69	Professional		$18.55	$21.64	$126.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $50.92 / $63.65	Professional		$32.21	$50.92	$63.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $49.18 / $152.02	Professional		$28.10	$49.18	$152.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $47.10 / $135.81	Facility		$28.10	$47.10	$135.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $28.94 / $77.56	Professional		$16.86	$28.94	$77.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $57.26 / $88.09	Facility		$33.75	$57.26	$88.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $56.20 / $77.59	Professional		$33.72	$56.20	$77.59
United Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $22.94 / $68.06	Professional		$16.86	$22.94	$68.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $28.10 / $28.10	Professional		$22.20	$28.10	$28.10