Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $153.30 / $609.86	Facility		$55.69	$153.30	$609.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $54.88 / $265.43	Professional		$31.79	$54.88	$265.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $75.06 / $93.84	Professional		$47.50	$75.06	$93.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $72.23 / $154.44	Professional		$41.28	$72.23	$154.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $64.34 / $196.95	Facility		$41.28	$64.34	$196.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $42.52 / $113.06	Professional		$24.77	$42.52	$113.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.55 / $84.09 / $129.41	Facility		$50.55	$84.09	$129.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $84.09 / $118.25	Professional		$49.57	$84.09	$118.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $34.60 / $99.97	Professional		$24.77	$34.60	$99.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $41.28 / $41.28	Professional		$32.61	$41.28	$41.28