Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $177.83	Facility		$48.98	$123.03	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $77.62	Professional		$41.69	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $154.88	Professional		$93.33	$123.03	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $117.49	Professional		$54.95	$83.18	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $173.78	Facility		$64.57	$77.62	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $141.25	Professional		$38.90	$38.90	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $251.19	Professional		$77.62	$83.18	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $141.25	Facility		$64.57	$64.57	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $141.25	Professional		$38.90	$38.90	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $64.57	Professional		$51.29	$64.57	$64.57