Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $38.22 / $90.96	Facility		$25.39	$38.22	$90.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.48 / $137.66	Professional		$14.13	$16.48	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $37.47 / $163.99	Professional		$21.41	$37.47	$163.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $35.90 / $103.12	Facility		$21.41	$35.90	$103.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $22.05 / $58.74	Professional		$12.85	$22.05	$58.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $43.62 / $67.12	Facility		$26.22	$43.62	$67.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $43.62 / $61.34	Professional		$25.72	$43.62	$61.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $17.95 / $54.15	Professional		$12.85	$17.95	$54.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $21.41 / $21.41	Professional		$16.91	$21.41	$21.41