Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $43.98 / $44.43	Facility		$43.98	$43.98	$44.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $34.09 / $44.43	Professional		$30.00	$34.09	$44.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $64.75 / $81.13	Professional		$39.22	$64.75	$81.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $39.61 / $105.00	Professional		$29.58	$39.61	$105.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $59.59 / $85.78	Facility		$31.37	$59.59	$85.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $65.73 / $201.28	Professional		$41.89	$65.73	$201.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.78 / $65.03 / $78.25	Facility		$59.78	$65.03	$78.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $65.34 / $85.10	Professional		$49.09	$65.34	$85.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $59.82 / $86.62	Professional		$37.64	$59.82	$86.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $53.90 / $63.40	Professional		$53.90	$53.90	$63.40