Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $133.22 / $439.17	Facility		$53.65	$133.22	$439.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $41.48 / $147.00	Professional		$26.28	$41.48	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $53.82 / $114.28	Professional		$30.22	$53.82	$114.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.81 / $78.04	Professional		$22.91	$50.81	$78.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $55.07 / $410.04	Facility		$33.63	$55.07	$410.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $43.27 / $158.51	Professional		$31.59	$43.27	$158.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $53.82 / $73.26	Facility		$36.94	$53.82	$73.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $53.82 / $82.93	Professional		$32.53	$53.82	$82.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $42.09 / $84.18	Professional		$33.52	$42.09	$84.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $35.79 / $63.70	Professional		$30.40	$35.79	$63.70