Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $84.91 / $113.79	Facility		$39.38	$84.91	$113.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $234.89	Professional		$28.13	$28.13	$234.89
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 $36.53 / $54.80 / $170.51	Professional		$36.53	$54.80	$170.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $47.14 / $97.54	Facility		$36.53	$47.14	$97.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $36.53 / $84.02	Professional		$21.92	$36.53	$84.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $61.29 / $85.01	Facility		$32.79	$61.29	$85.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $52.04 / $85.01	Professional		$34.47	$52.04	$85.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $79.64	Professional		$21.92	$21.92	$79.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $36.53 / $36.53	Professional		$28.86	$36.53	$36.53