Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $186.21	Facility		$48.98	$123.03	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $389.05	Professional		$41.69	$57.54	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $154.88	Professional		$79.43	$123.03	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $239.88	Professional		$64.57	$112.20	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $199.53	Facility		$64.57	$83.18	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $169.82	Professional		$38.90	$70.79	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $83.18	Professional		$77.62	$79.43	$83.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $141.25	Facility		$64.57	$64.57	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $154.88	Professional		$38.90	$52.48	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $64.57	Professional		$51.29	$64.57	$64.57