Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $45.06 / $755.01	Facility		$45.06	$45.06	$755.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $175.24 / $490.27	Professional		$29.26	$175.24	$490.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $52.34 / $889.82	Professional		$30.03	$52.34	$889.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $356.11 / $534.75	Professional		$20.92	$356.11	$534.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $429.77 / $896.12	Facility		$28.73	$429.77	$896.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $280.23 / $843.74	Professional		$44.75	$280.23	$843.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $77.64 / $635.32	Facility		$26.09	$77.64	$635.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $413.62 / $646.20	Professional		$30.69	$413.62	$646.20
United Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $310.95 / $539.91	Professional		$158.80	$310.95	$539.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $30.90 / $489.50	Professional		$26.20	$30.90	$489.50