Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $83.71 / $182.17	Facility		$33.39	$83.71	$182.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $23.85 / $105.60	Professional		$20.45	$23.85	$105.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $56.14 / $70.18	Professional		$35.52	$56.14	$70.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $54.22 / $143.09	Professional		$30.98	$54.22	$143.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $48.04 / $149.16	Facility		$30.98	$48.04	$149.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $31.91 / $84.24	Professional		$18.59	$31.91	$84.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $63.14 / $97.12	Facility		$37.94	$63.14	$97.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $63.14 / $84.24	Professional		$37.21	$63.14	$84.24
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $20.66 / $75.06	Professional		$18.59	$20.66	$75.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $30.98 / $30.98	Professional		$24.47	$30.98	$30.98