Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $165.96	Facility		$45.71	$100.00	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $87.10	Professional		$39.81	$51.29	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $144.54	Professional		$72.44	$117.49	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $60.26 / $107.15	Professional		$31.62	$60.26	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $63.10 / $134.90	Facility		$20.42	$63.10	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $36.31 / $120.23	Professional		$10.00	$36.31	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $72.44 / $77.62	Professional		$14.79	$72.44	$77.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $134.90	Facility		$60.26	$60.26	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $36.31 / $63.10	Professional		$10.00	$36.31	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $60.26	Professional		$47.86	$60.26	$60.26