Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.85 / $115.89 / $318.38	Facility		$52.85	$115.89	$318.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.75 / $315.26	Professional		$32.36	$37.75	$315.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $89.43 / $111.79	Professional		$56.58	$89.43	$111.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $85.80 / $189.12	Professional		$49.03	$85.80	$189.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $82.19 / $236.48	Facility		$49.03	$82.19	$236.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $50.50 / $135.21	Professional		$29.42	$50.50	$135.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $99.87 / $153.71	Facility		$60.05	$99.87	$153.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $99.87 / $135.21	Professional		$58.88	$99.87	$135.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $41.09 / $118.74	Professional		$29.42	$41.09	$118.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $49.03 / $49.03	Professional		$38.72	$49.03	$49.03