Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $69.83 / $102.78	Facility		$69.83	$69.83	$102.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $44.72 / $65.36	Professional		$32.43	$44.72	$65.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.05 / $78.05 / $78.05	Professional	25	$78.05	$78.05	$78.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $132.63 / $165.79	Professional		$70.84	$132.63	$165.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $72.05 / $123.21	Professional		$42.12	$72.05	$123.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $64.92 / $143.53	Facility		$40.54	$64.92	$143.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $74.51 / $314.14	Professional		$45.91	$74.51	$314.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $86.15 / $131.51	Facility		$50.50	$86.15	$131.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $86.15 / $131.51	Professional		$50.50	$86.15	$131.51
United Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $50.39 / $94.88	Professional		$43.83	$50.39	$94.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $69.28 / $103.20	Professional		$58.70	$69.28	$103.20