Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Facility		$33.11	$33.11	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $43.65	Professional		$21.88	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $120.23	Professional		$38.90	$61.66	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $128.82	Professional		$19.95	$29.51	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $58.88	Facility		$23.44	$34.67	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $199.53	Professional		$39.81	$72.44	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $87.10	Professional		$54.95	$64.57	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $79.43	Professional		$60.26	$74.13	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $79.43	Professional		$30.20	$50.12	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $57.54	Professional		$35.48	$43.65	$57.54