Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.92 / $107.62 / $144.22	Facility		$49.92	$107.62	$144.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $35.65 / $125.17	Professional		$30.56	$35.65	$125.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $84.21 / $105.26	Professional		$53.28	$84.21	$105.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $69.47 / $107.35	Professional		$46.31	$69.47	$107.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $60.20 / $160.69	Facility		$46.31	$60.20	$160.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $46.31 / $106.51	Professional		$27.79	$46.31	$106.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $84.91 / $104.58	Facility		$41.57	$84.91	$104.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $83.36 / $104.58	Professional		$51.33	$83.36	$104.58
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $28.46 / $94.82	Professional		$27.79	$28.46	$94.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $46.31 / $46.31	Professional		$36.58	$46.31	$46.31