Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $84.21 / $104.14	Facility		$25.68	$84.21	$104.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $84.21 / $119.80	Professional		$25.37	$84.21	$119.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $34.01 / $42.52	Professional		$34.01	$34.01	$42.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $170.70	Professional		$25.37	$25.37	$170.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $40.11 / $84.21	Facility		$29.32	$40.11	$84.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $81.56	Professional		$28.02	$28.02	$81.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $40.08 / $51.43	Facility		$29.32	$40.08	$51.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $48.72 / $90.42	Professional		$33.63	$48.72	$90.42
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $26.13	Professional		$25.37	$25.37	$26.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Facility		$28.02	$28.02	$28.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02