Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $162.18	Facility		$42.66	$107.15	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $363.08	Professional		$40.74	$50.12	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $134.90	Professional		$67.61	$107.15	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $151.36	Professional		$56.23	$123.03	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $173.78	Facility		$56.23	$67.61	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $144.54	Professional		$33.88	$56.23	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $72.44	Professional		$56.23	$67.61	$72.44
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 $56.23 / $56.23 / $123.03	Facility		$56.23	$56.23	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $134.90	Professional		$33.88	$45.71	$134.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $56.23	Professional		$43.65	$56.23	$56.23