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 / $21.61	Professional		$18.57	$21.61	$21.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $53.04 / $100.40	Professional		$42.43	$53.04	$100.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $18.39 / $48.10	Professional		$12.03	$18.39	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $44.92 / $417.03	Facility		$24.44	$44.92	$417.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $23.95 / $73.19	Professional		$11.45	$23.95	$73.19
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 / $44.33 / $81.81	Professional		$23.95	$44.33	$81.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $17.87 / $40.56	Professional		$10.54	$17.87	$40.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40