Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $49.83 / $52.79	Facility		$49.83	$49.83	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $31.61 / $37.40	Professional		$28.37	$31.61	$37.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $66.05 / $78.50	Professional		$50.46	$66.05	$78.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $37.10 / $194.39	Professional		$28.94	$37.10	$194.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $50.46 / $157.44	Facility		$28.97	$50.46	$157.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $54.92 / $115.33	Professional		$37.95	$54.92	$115.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $66.70 / $74.55	Facility		$47.00	$66.70	$74.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $66.70 / $94.40	Professional		$47.00	$66.70	$94.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $43.28 / $80.90	Professional		$34.27	$43.28	$80.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $49.20 / $49.20	Professional		$41.80	$49.20	$49.20