Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $50.15 / $58.98	Facility		$42.09	$50.15	$58.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $36.67 / $48.28	Professional		$27.50	$36.67	$48.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.82 / $7.82 / $7.82	Professional	25	$7.82	$7.82	$7.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $71.18 / $88.98	Professional		$71.18	$71.18	$88.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $56.51 / $150.00	Professional		$36.59	$56.51	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $76.08 / $180.13	Facility		$32.15	$76.08	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $59.09 / $98.15	Professional		$44.00	$59.09	$98.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $78.44 / $83.71	Facility		$57.74	$78.44	$83.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $78.44 / $107.79	Professional		$49.87	$78.44	$107.79
United Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $53.54 / $98.15	Professional		$41.95	$53.54	$98.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $56.30 / $56.30	Professional		$47.90	$56.30	$56.30