Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $75.40 / $97.00	Facility		$31.26	$75.40	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $36.99 / $73.81	Professional		$27.22	$36.99	$73.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.21 / $37.21 / $51.58	Professional	25	$37.21	$37.21	$51.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $86.39 / $124.89	Professional		$49.49	$86.39	$124.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $48.46 / $98.42	Professional		$29.45	$48.46	$98.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $43.93 / $154.38	Facility		$29.10	$43.93	$154.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $66.81 / $222.87	Professional		$40.83	$66.81	$222.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $68.90 / $95.36	Facility		$49.49	$68.90	$95.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $69.61 / $124.89	Professional		$49.49	$69.61	$124.89
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $50.00 / $86.19	Professional		$38.86	$50.00	$86.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $48.30 / $67.20	Professional		$41.00	$48.30	$67.20