Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $102.33 / $151.36	Facility		$40.74	$102.33	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $125.89	Professional		$34.67	$45.71	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $128.82	Professional		$77.62	$104.71	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $204.17	Professional		$60.26	$95.50	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $64.57 / $144.54	Facility		$53.70	$64.57	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $125.89	Professional		$32.36	$48.98	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $70.79	Professional		$64.57	$64.57	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $120.23	Facility		$53.70	$53.70	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $117.49	Professional		$32.36	$32.36	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $53.70	Professional		$42.66	$53.70	$53.70