Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $102.85 / $263.38	Facility		$56.33	$102.85	$263.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $29.65 / $223.00	Professional		$25.41	$29.65	$223.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $69.84 / $87.31	Professional		$44.19	$69.84	$87.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $67.38 / $180.75	Professional		$38.50	$67.38	$180.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $65.64 / $183.99	Facility		$38.50	$65.64	$183.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $39.65 / $106.26	Professional		$23.10	$39.65	$106.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $78.45 / $120.70	Facility		$47.15	$78.45	$120.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $78.45 / $110.31	Professional		$46.24	$78.45	$110.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $32.27 / $88.55	Professional		$23.10	$32.27	$88.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $38.50 / $38.50	Professional		$30.42	$38.50	$38.50