Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $57.32 / $251.64	Facility		$47.88	$57.32	$251.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $45.92 / $124.01	Professional		$30.17	$45.92	$124.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $35.32 / $37.50	Professional		$30.00	$35.32	$37.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $30.17 / $180.75	Professional		$24.14	$30.17	$180.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $41.07 / $55.08	Facility		$5.00	$41.07	$55.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $27.36 / $49.41	Professional		$17.57	$27.36	$49.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $35.32 / $55.08	Facility		$5.00	$35.32	$55.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $35.40 / $75.31	Professional		$17.02	$35.40	$75.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $32.01	Professional		$30.17	$30.17	$32.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Facility		$27.36	$27.36	$27.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Professional		$27.36	$27.36	$27.36