Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $43.65	Professional		$19.95	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $102.33	Professional		$36.31	$51.29	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $309.03	Professional		$223.87	$245.47	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $102.33	Facility		$33.88	$51.29	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $346.74	Professional		$23.99	$32.36	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $102.33	Professional		$54.95	$81.28	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $97.72	Professional		$77.62	$89.13	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $43.65	Professional		$23.99	$25.70	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $75.86	Professional		$58.88	$75.86	$75.86