Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $75.87 / $106.13	Facility		$42.04	$75.87	$106.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $30.03 / $105.41	Professional		$25.74	$30.03	$105.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $71.16 / $88.94	Professional		$45.02	$71.16	$88.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $51.71 / $74.01	Professional		$39.00	$51.71	$74.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $46.84 / $99.84	Facility		$30.34	$46.84	$99.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $31.29 / $85.47	Professional		$16.43	$31.29	$85.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $54.60 / $85.47	Facility		$24.01	$54.60	$85.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $51.25 / $85.47	Professional		$30.97	$51.25	$85.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $23.40 / $72.15	Professional		$16.43	$23.40	$72.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $39.00 / $39.00	Professional		$30.81	$39.00	$39.00