Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $54.60 / $76.37	Facility		$30.25	$54.60	$76.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.61 / $102.38	Professional		$18.57	$21.61	$102.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $53.04 / $90.90	Professional		$42.43	$53.04	$90.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $34.22 / $155.61	Professional		$22.37	$34.22	$155.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $44.92 / $417.03	Facility		$21.91	$44.92	$417.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $23.95 / $69.78	Professional		$10.15	$23.95	$69.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $43.32 / $76.90	Facility		$20.28	$43.32	$76.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $43.32 / $81.81	Professional		$23.95	$43.32	$81.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $17.87 / $52.49	Professional		$10.15	$17.87	$52.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40