Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $52.48 / $64.57	Facility		$30.90	$52.48	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $46.77	Professional		$26.92	$30.90	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $79.43	Professional		$51.29	$66.07	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $208.93	Professional		$28.84	$37.15	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $48.98 / $158.49	Facility		$28.18	$48.98	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $588.84	Professional		$35.48	$52.48	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $144.54	Professional		$46.77	$66.07	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $83.18	Professional		$35.48	$43.65	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Professional		$41.69	$41.69	$48.98