Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $57.98 / $85.22	Facility		$32.13	$57.98	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $25.93 / $28.91	Professional		$19.67	$25.93	$28.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $54.18 / $67.73	Professional		$35.76	$54.18	$67.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $50.44 / $127.56	Professional		$29.80	$50.44	$127.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $38.74 / $74.01	Facility		$29.80	$38.74	$74.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $30.69 / $106.19	Professional		$17.55	$30.69	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $50.00 / $72.20	Facility		$35.76	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $49.27 / $72.20	Professional		$34.39	$49.27	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $17.88 / $56.02	Professional		$17.88	$17.88	$56.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80