Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $72.94 / $139.36	Facility		$33.26	$72.94	$139.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $23.76 / $83.40	Professional		$20.37	$23.76	$83.40
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 $30.86 / $46.29 / $174.30	Professional		$30.86	$46.29	$174.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $40.11 / $115.04	Facility		$30.86	$40.11	$115.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $30.86 / $70.98	Professional		$18.52	$30.86	$70.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $56.58 / $83.40	Facility		$28.10	$56.58	$83.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $55.55 / $80.54	Professional		$34.69	$55.55	$80.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $67.27	Professional		$18.52	$18.52	$67.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $30.86 / $30.86	Professional		$24.38	$30.86	$30.86