Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $53.72 / $178.64	Facility		$21.28	$53.72	$178.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $15.20 / $53.35	Professional		$13.03	$15.20	$53.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $34.54 / $135.69	Professional		$19.73	$34.54	$135.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $33.11 / $95.80	Facility		$19.73	$33.11	$95.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $20.32 / $54.31	Professional		$11.84	$20.32	$54.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $40.21 / $61.88	Facility		$24.18	$40.21	$61.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $40.21 / $56.57	Professional		$23.71	$40.21	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $45.40	Professional		$11.84	$11.84	$45.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $19.73 / $19.73	Professional		$15.59	$19.73	$19.73