Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $57.53 / $135.34	Facility		$34.47	$57.53	$135.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $18.14 / $64.92	Professional		$15.56	$18.14	$64.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $43.08 / $53.86	Professional		$27.26	$43.08	$53.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $30.22 / $158.00	Professional		$23.57	$30.22	$158.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $30.64 / $66.36	Facility		$21.13	$30.64	$66.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $23.57 / $54.21	Professional		$9.92	$23.57	$54.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $39.54 / $54.31	Facility		$24.23	$39.54	$54.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $42.43 / $56.68	Professional		$28.28	$42.43	$56.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $14.14 / $31.98	Professional		$10.03	$14.14	$31.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.57 / $23.57	Professional		$18.62	$23.57	$23.57