Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $133.74 / $471.80	Facility		$47.32	$133.74	$471.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $48.58 / $172.48	Professional		$29.75	$48.58	$172.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $68.05 / $136.09	Professional		$32.70	$68.05	$136.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $60.66 / $92.82	Professional		$24.81	$60.66	$92.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $65.09 / $824.44	Facility		$36.36	$65.09	$824.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $49.46 / $187.85	Professional		$33.57	$49.46	$187.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $63.80 / $87.67	Facility		$40.01	$63.80	$87.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $64.18 / $97.58	Professional		$38.50	$64.18	$97.58
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $49.39 / $91.35	Professional		$36.11	$49.39	$91.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $38.70 / $76.00	Professional		$32.90	$38.70	$76.00