Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.65 / $262.83	Facility		$33.65	$33.65	$262.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $33.65 / $957.06	Professional		$25.33	$33.65	$957.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $29.97 / $31.78	Professional		$25.43	$29.97	$31.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $25.33 / $744.25	Professional		$23.75	$25.33	$744.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $119.47 / $482.70	Facility		$29.97	$119.47	$482.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $131.41 / $406.14	Professional		$55.73	$131.41	$406.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $89.36 / $482.70	Facility		$29.97	$89.36	$482.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $362.54 / $660.32	Professional		$42.27	$362.54	$660.32
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.84 / $30.14	Professional		$25.33	$25.84	$30.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $119.47 / $119.47	Facility		$119.47	$119.47	$119.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $119.47 / $119.47	Professional		$119.47	$119.47	$119.47