Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $64.27 / $104.92	Facility		$28.52	$64.27	$104.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $27.73 / $121.76	Professional		$20.88	$27.73	$121.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $49.33 / $56.70	Professional		$26.94	$49.33	$56.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $30.16 / $39.27	Professional		$18.39	$30.16	$39.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $39.67 / $56.08	Facility		$27.15	$39.67	$56.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $43.95 / $128.81	Professional		$26.42	$43.95	$128.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $48.99 / $56.08	Facility		$33.00	$48.99	$56.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $47.61 / $56.08	Professional		$33.00	$47.61	$56.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $34.88 / $59.30	Professional		$23.20	$34.88	$59.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $32.60 / $38.29	Professional		$25.75	$32.60	$38.29