Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $106.44 / $148.88	Facility		$51.43	$106.44	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $93.42 / $116.77	Professional		$59.10	$93.42	$116.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $74.56 / $93.09	Professional		$43.72	$74.56	$93.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $61.76 / $143.86	Facility		$51.43	$61.76	$143.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $25.22 / $110.19	Professional		$22.03	$25.22	$110.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $70.03 / $105.95	Facility		$61.72	$70.03	$105.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $75.45 / $110.19	Professional		$58.21	$75.45	$110.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.98 / $83.36	Professional		$22.48	$22.98	$83.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $51.43 / $51.43	Professional		$40.63	$51.43	$51.43