Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $57.59 / $103.58	Facility		$26.26	$57.59	$103.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $18.76 / $32.07	Professional		$16.07	$18.76	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.39 / $55.49	Professional		$28.08	$44.39	$55.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $42.65 / $148.02	Professional		$24.37	$42.65	$148.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $40.86 / $117.66	Facility		$24.37	$40.86	$117.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $25.10 / $66.50	Professional		$14.62	$25.10	$66.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $49.66 / $76.40	Facility		$29.85	$49.66	$76.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $49.66 / $69.83	Professional		$29.27	$49.66	$69.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $20.43 / $59.03	Professional		$14.62	$20.43	$59.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $24.37 / $24.37	Professional		$19.25	$24.37	$24.37