Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $162.24 / $321.77	Facility		$45.49	$162.24	$321.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $19.23 / $19.23	Professional		$16.54	$19.23	$19.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $37.86 / $47.33	Professional		$36.99	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $18.89 / $55.06	Professional		$12.12	$18.89	$55.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $42.03 / $417.03	Facility		$21.91	$42.03	$417.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $21.33 / $65.15	Professional		$10.33	$21.33	$65.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $38.74 / $62.26	Facility		$18.02	$38.74	$62.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $39.90 / $67.59	Professional		$23.68	$39.90	$67.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $15.91 / $45.38	Professional		$10.42	$15.91	$45.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $18.89 / $22.20	Professional		$14.93	$18.89	$22.20