Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $114.56 / $174.69	Facility		$64.19	$114.56	$174.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $49.43 / $173.50	Professional		$42.37	$49.43	$173.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $116.20 / $145.25	Professional		$73.51	$116.20	$145.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $93.08 / $174.30	Professional		$64.19	$93.08	$174.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $77.09 / $157.13	Facility		$39.84	$77.09	$157.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $44.88 / $140.68	Professional		$24.48	$44.88	$140.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $83.45 / $140.68	Facility		$36.35	$83.45	$140.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $83.45 / $157.13	Professional		$36.35	$83.45	$157.13
United Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $147.63	Facility		$64.19	$64.19	$147.63
United Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $38.51 / $118.75	Professional		$24.48	$38.51	$118.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $64.19 / $64.19	Professional		$50.71	$64.19	$64.19