Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $112.20 / $602.56	Facility		$36.31	$112.20	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $302.00	Professional		$36.31	$47.86	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $114.82	Professional		$60.26	$91.20	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $269.15	Professional		$52.48	$83.18	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $229.09	Facility		$47.86	$61.66	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $120.23	Professional		$28.84	$51.29	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $109.65	Professional		$57.54	$61.66	$109.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $104.71	Facility		$47.86	$47.86	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $114.82	Professional		$25.70	$28.84	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $47.86	Professional		$38.02	$47.86	$47.86