Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $70.22 / $187.25	Facility		$37.75	$70.22	$187.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $19.87 / $45.31	Professional		$17.03	$19.87	$45.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $47.00 / $58.75	Professional		$29.74	$47.00	$58.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $45.17 / $143.09	Professional		$25.81	$45.17	$143.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $44.00 / $124.90	Facility		$25.81	$44.00	$124.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.58 / $69.83	Professional		$15.49	$26.58	$69.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $52.57 / $80.91	Facility		$31.61	$52.57	$80.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $52.57 / $73.94	Professional		$31.00	$52.57	$73.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.64 / $62.50	Professional		$15.49	$21.64	$62.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $25.81 / $25.81	Professional		$20.39	$25.81	$25.81