Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $50.71 / $110.79	Facility		$28.10	$50.71	$110.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $22.68 / $25.29	Professional		$17.21	$22.68	$25.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $47.65 / $59.57	Professional		$31.31	$47.65	$59.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $45.62 / $68.75	Professional		$26.07	$45.62	$68.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $40.44 / $81.73	Facility		$26.07	$40.44	$81.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $31.31 / $138.02	Professional		$15.64	$31.31	$138.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $53.12 / $81.73	Facility		$31.28	$53.12	$81.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $53.70 / $81.73	Professional		$31.31	$53.70	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $71.13	Professional		$15.64	$15.64	$71.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Professional		$26.07	$26.07	$26.07