Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $100.00 / $144.54	Facility		$39.81	$100.00	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $63.10	Professional		$33.88	$41.69	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $125.89	Professional		$75.86	$102.33	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $95.50	Professional		$44.67	$69.18	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $141.25	Facility		$52.48	$63.10	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $123.03	Professional		$31.62	$31.62	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $208.93	Professional		$63.10	$67.61	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $117.49	Facility		$52.48	$52.48	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $114.82	Professional		$31.62	$31.62	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $52.48	Professional		$41.69	$52.48	$52.48