Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.20 / $61.60 / $62.37	Facility		$60.20	$61.60	$62.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $16.21 / $65.00	Professional		$3.77	$16.21	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $42.41	Professional		$33.93	$33.93	$42.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $22.61 / $58.31	Professional		$14.87	$22.61	$58.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $43.74 / $189.97	Facility		$15.10	$43.74	$189.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.87 / $42.76	Professional		$13.49	$17.87	$42.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $31.35 / $43.74	Facility		$16.00	$31.35	$43.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $31.35 / $44.63	Professional		$16.00	$31.35	$44.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.83 / $29.47	Professional		$13.49	$13.83	$29.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $20.10 / $20.10	Professional		$20.10	$20.10	$20.10