Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $72.87 / $787.36	Facility		$28.87	$72.87	$787.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $20.62 / $112.50	Professional		$17.67	$20.62	$112.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $48.96 / $61.20	Professional		$30.98	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $46.87 / $143.97	Professional		$26.78	$46.87	$143.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $41.30 / $128.00	Facility		$26.78	$41.30	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.37 / $73.15	Professional		$16.07	$27.37	$73.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $54.55 / $83.96	Facility		$32.79	$54.55	$83.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $51.71 / $73.15	Professional		$32.14	$51.71	$73.15
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.42 / $64.86	Professional		$16.07	$16.42	$64.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $26.78 / $26.78	Professional		$21.16	$26.78	$26.78