Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $122.06 / $219.43	Facility		$55.66	$122.06	$219.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $39.76 / $95.04	Professional		$34.08	$39.76	$95.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $94.00 / $117.50	Professional		$59.47	$94.00	$117.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $90.37 / $167.98	Professional		$51.64	$90.37	$167.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $86.59 / $248.60	Facility		$51.64	$86.59	$248.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $53.19 / $141.87	Professional		$30.98	$53.19	$141.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $105.20 / $161.88	Facility		$56.64	$105.20	$161.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $105.20 / $147.94	Professional		$61.97	$105.20	$147.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $43.30 / $125.07	Professional		$30.98	$43.30	$125.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $51.64 / $51.64	Professional		$40.79	$51.64	$51.64