Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $95.50 / $147.91	Facility		$38.02	$95.50	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $100.00	Professional		$33.11	$42.66	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $120.23	Professional		$64.57	$95.50	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $123.03 / $245.47	Professional		$50.12	$123.03	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $66.07 / $158.49	Facility		$50.12	$66.07	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $131.83	Professional		$30.20	$60.26	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $64.57	Professional		$60.26	$64.57	$64.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $112.20	Facility		$50.12	$50.12	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $123.03	Professional		$30.20	$42.66	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12