Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $86.42 / $386.25	Facility		$39.40	$86.42	$386.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $28.15 / $98.81	Professional		$24.13	$28.15	$98.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $66.59 / $83.23	Professional		$42.13	$66.59	$83.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $63.98 / $154.09	Professional		$36.56	$63.98	$154.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $87.22 / $272.89	Facility		$36.56	$87.22	$272.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $47.53 / $142.00	Professional		$21.94	$47.53	$142.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $74.48 / $161.29	Facility		$47.17	$74.48	$161.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $80.12 / $154.06	Professional		$43.90	$80.12	$154.06
United Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $34.61 / $92.46	Professional		$21.94	$34.61	$92.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $36.56 / $36.56	Professional		$28.88	$36.56	$36.56