Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $80.22 / $144.22	Facility		$36.58	$80.22	$144.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $26.13 / $91.72	Professional		$22.40	$26.13	$91.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $62.02 / $77.52	Professional		$39.24	$62.02	$77.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $59.40 / $247.78	Professional		$33.94	$59.40	$247.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $52.66 / $163.72	Facility		$33.94	$52.66	$163.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $34.96 / $92.00	Professional		$20.36	$34.96	$92.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $69.14 / $106.40	Facility		$41.57	$69.14	$106.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $69.14 / $97.25	Professional		$40.76	$69.14	$97.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $28.85 / $78.06	Professional		$20.36	$28.85	$78.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $33.94 / $33.94	Professional		$26.81	$33.94	$33.94