Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $43.10 / $78.03	Facility		$21.77	$43.10	$78.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $18.66 / $32.63	Professional		$18.66	$18.66	$32.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $33.92 / $36.56	Professional		$29.25	$33.92	$36.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $42.41 / $121.41	Professional		$31.10	$42.41	$121.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $38.15 / $134.28	Facility		$28.27	$38.15	$134.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $23.42 / $73.50	Professional		$16.96	$23.42	$73.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $42.91 / $73.50	Facility		$33.96	$42.91	$73.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $46.47 / $73.50	Professional		$33.92	$46.47	$73.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $18.85 / $68.47	Professional		$16.96	$18.85	$68.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $28.27 / $28.27	Professional		$22.33	$28.27	$28.27