Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $169.82	Facility		$43.65	$109.65	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $114.82	Professional		$38.02	$50.12	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $141.25 / $199.53	Professional		$57.54	$141.25	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $181.97	Facility		$57.54	$75.86	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $151.36	Professional		$34.67	$69.18	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $74.13	Professional		$69.18	$70.79	$74.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $128.82	Facility		$57.54	$57.54	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $141.25	Professional		$34.67	$47.86	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $57.54	Professional		$45.71	$57.54	$57.54