Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $56.61 / $130.40	Facility		$30.43	$56.61	$130.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $16.02 / $124.08	Professional		$13.73	$16.02	$124.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $36.42 / $140.05	Professional		$20.81	$36.42	$140.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $34.88 / $100.00	Facility		$20.81	$34.88	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $21.43 / $57.44	Professional		$12.49	$21.43	$57.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $42.42 / $65.23	Facility		$25.49	$42.42	$65.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $42.42 / $59.62	Professional		$24.99	$42.42	$59.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.44 / $50.42	Professional		$12.49	$17.44	$50.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.81 / $20.81	Professional		$16.44	$20.81	$20.81