Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $103.98 / $186.92	Facility		$47.42	$103.98	$186.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $33.86 / $118.88	Professional		$29.03	$33.86	$118.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $79.64 / $99.55	Professional		$50.39	$79.64	$99.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $76.98 / $243.01	Professional		$43.99	$76.98	$243.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $80.64 / $212.23	Facility		$43.99	$80.64	$212.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $45.31 / $119.70	Professional		$26.39	$45.31	$119.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $89.63 / $137.91	Facility		$56.77	$89.63	$137.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $89.63 / $126.02	Professional		$52.84	$89.63	$126.02
United Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $36.88 / $101.18	Professional		$26.39	$36.88	$101.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $43.99 / $43.99	Professional		$34.75	$43.99	$43.99