Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $108.06 / $151.15	Facility		$55.54	$108.06	$151.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.77 / $150.12	Professional		$36.65	$42.77	$150.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $101.18 / $126.48	Professional		$64.02	$101.18	$126.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $83.31 / $238.71	Professional		$61.09	$83.31	$238.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $72.20 / $241.65	Facility		$55.54	$72.20	$241.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $49.99 / $140.46	Professional		$33.32	$49.99	$140.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $105.74 / $218.02	Facility		$66.70	$105.74	$218.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $101.84 / $141.63	Professional		$66.65	$101.84	$141.63
United Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $113.72	Professional		$33.32	$33.32	$113.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $55.54 / $55.54	Professional		$43.88	$55.54	$55.54