Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $48.10 / $334.42	Facility		$38.89	$48.10	$334.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $31.20 / $50.00	Professional		$6.85	$31.20	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $69.42 / $86.78	Professional		$69.42	$69.42	$86.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $41.49 / $57.23	Professional		$31.69	$41.49	$57.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $58.62 / $123.14	Facility		$15.57	$58.62	$123.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.87 / $50.46	Professional		$13.49	$25.87	$50.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $37.65 / $80.39	Facility		$26.14	$37.65	$80.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $34.83 / $49.64	Professional		$11.08	$34.83	$49.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.83 / $31.06	Professional		$13.49	$13.83	$31.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $24.90	Professional		$24.90	$24.90	$24.90