Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $51.29	Facility		$26.92	$36.31	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $93.33	Professional		$28.84	$47.86	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $204.17	Professional		$61.66	$104.71	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $177.83	Professional		$33.11	$52.48	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $93.33	Facility		$34.67	$51.29	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $398.11	Professional		$64.57	$107.15	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $125.89	Professional		$58.88	$100.00	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $158.49	Professional		$63.10	$83.18	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $123.03	Professional		$45.71	$72.44	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $81.28	Professional		$47.86	$58.88	$81.28