Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $112.49 / $202.22	Facility		$51.30	$112.49	$202.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $36.64 / $128.61	Professional		$31.41	$36.64	$128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $86.17 / $107.71	Professional		$54.52	$86.17	$107.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $83.28 / $125.52	Professional		$47.59	$83.28	$125.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $79.79 / $227.61	Facility		$47.59	$79.79	$227.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $49.02 / $129.68	Professional		$28.55	$49.02	$129.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $96.97 / $149.19	Facility		$58.28	$96.97	$149.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $96.97 / $136.35	Professional		$57.16	$96.97	$136.35
United Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $39.89 / $115.28	Professional		$28.55	$39.89	$115.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $47.59 / $47.59	Professional		$37.60	$47.59	$47.59