Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $97.72 / $151.36	Facility		$38.90	$97.72	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $138.04	Professional		$38.90	$51.29	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $123.03	Professional		$61.66	$100.00	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $125.89 / $190.55	Professional		$51.29	$125.89	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $162.18	Facility		$51.29	$66.07	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $134.90	Professional		$30.90	$56.23	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $66.07	Professional		$56.23	$61.66	$66.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $114.82	Facility		$51.29	$51.29	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $125.89	Professional		$30.90	$43.65	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $51.29	Professional		$40.74	$51.29	$51.29