Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $58.44 / $154.13	Facility		$31.10	$58.44	$154.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.37 / $136.69	Professional		$14.03	$16.37	$136.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $37.21 / $177.15	Professional		$21.26	$37.21	$177.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $35.64 / $103.12	Facility		$21.26	$35.64	$103.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $21.26 / $55.49	Professional		$12.76	$21.26	$55.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $43.34 / $66.65	Facility		$26.04	$43.34	$66.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $43.34 / $60.90	Professional		$25.53	$43.34	$60.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.82 / $53.77	Professional		$12.76	$17.82	$53.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.26 / $21.26	Professional		$16.80	$21.26	$21.26