Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $106.82 / $149.41	Facility		$42.28	$106.82	$149.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $76.77 / $95.96	Professional		$48.57	$76.77	$95.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $61.31 / $76.53	Professional		$35.94	$61.31	$76.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $54.48 / $143.86	Facility		$42.28	$54.48	$143.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $25.22 / $97.24	Professional		$22.03	$25.22	$97.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $70.03 / $92.53	Facility		$50.78	$70.03	$92.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $75.45 / $110.19	Professional		$50.74	$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 $33.40 / $42.28 / $42.28	Professional		$33.40	$42.28	$42.28