Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $84.75 / $298.30	Facility		$45.56	$84.75	$298.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $23.98 / $23.98	Professional		$20.62	$23.98	$23.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $58.75 / $122.59	Professional		$47.00	$58.75	$122.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $15.86 / $123.35	Professional		$10.37	$15.86	$123.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $55.41 / $417.03	Facility		$28.50	$55.41	$417.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $27.04 / $81.23	Professional		$13.62	$27.04	$81.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $50.67 / $85.58	Facility		$22.85	$50.67	$85.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $51.00 / $90.78	Professional		$26.57	$51.00	$90.78
United Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $19.84 / $56.53	Professional		$13.62	$19.84	$56.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40