Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $61.66 / $75.86	Facility		$34.67	$61.66	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $52.48	Professional		$30.90	$34.67	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $91.20	Professional		$58.88	$74.13	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $181.97	Professional		$33.11	$42.66	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $104.71	Facility		$31.62	$51.29	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $151.36	Professional		$44.67	$64.57	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $89.13	Professional		$57.54	$75.86	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $60.26	Professional		$58.88	$58.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $93.33	Professional		$39.81	$50.12	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $48.98 / $57.54	Professional		$47.86	$48.98	$57.54