Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $39.25 / $56.98	Facility		$39.25	$39.25	$56.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $37.09 / $48.46	Professional		$28.67	$37.09	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $94.91 / $118.64	Professional		$53.90	$94.91	$118.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $52.53 / $100.00	Professional		$30.58	$52.53	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $51.18 / $96.37	Facility		$32.65	$51.18	$96.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $72.43 / $218.48	Professional		$49.71	$72.43	$218.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $70.64 / $93.25	Facility		$48.01	$70.64	$93.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $70.64 / $96.37	Professional		$48.01	$70.64	$96.37
United Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $61.45 / $109.92	Professional		$48.79	$61.45	$109.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $50.20 / $73.80	Professional		$42.60	$50.20	$73.80