Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $127.13 / $196.60	Facility		$19.73	$127.13	$196.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $54.85 / $66.95	Professional		$47.01	$54.85	$66.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $129.25 / $161.57	Professional		$81.77	$129.25	$161.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $89.04 / $221.44	Professional		$11.48	$89.04	$221.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $85.48 / $182.35	Facility		$8.97	$85.48	$182.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $64.11 / $156.11	Professional		$4.07	$64.11	$156.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $92.98 / $156.11	Facility		$24.62	$92.98	$156.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $116.00 / $156.11	Professional		$71.23	$116.00	$156.11
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $42.74 / $155.28	Professional		$4.07	$42.74	$155.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $71.23 / $71.23	Professional		$56.27	$71.23	$71.23