Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $46.84 / $89.81	Facility		$28.89	$46.84	$89.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $18.54 / $18.54	Professional		$15.89	$18.54	$18.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $28.90 / $31.41	Professional		$25.13	$28.90	$31.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $36.11 / $208.63	Professional		$26.49	$36.11	$208.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $32.51 / $114.38	Facility		$24.08	$32.51	$114.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $21.67 / $62.61	Professional		$13.36	$21.67	$62.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $35.38 / $62.61	Facility		$28.92	$35.38	$62.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $38.65 / $61.40	Professional		$28.90	$38.65	$61.40
United Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $14.45 / $49.49	Professional		$13.36	$14.45	$49.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $24.08 / $24.08	Professional		$19.02	$24.08	$24.08