Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $68.72 / $241.76	Facility		$25.29	$68.72	$241.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $27.20 / $95.47	Professional		$23.32	$27.20	$95.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $63.97 / $79.97	Professional		$40.47	$63.97	$79.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $44.16 / $259.04	Professional		$14.70	$44.16	$259.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $45.60 / $96.43	Facility		$11.74	$45.60	$96.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $35.33 / $89.00	Professional		$5.22	$35.33	$89.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $49.46 / $78.52	Facility		$31.52	$49.46	$78.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $64.75 / $92.21	Professional		$42.40	$64.75	$92.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $21.20 / $81.26	Professional		$5.37	$21.20	$81.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $35.33 / $35.33	Professional		$27.91	$35.33	$35.33