Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $94.85 / $165.46	Facility		$46.82	$94.85	$165.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $46.82 / $164.34	Professional		$40.13	$46.82	$164.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $110.32 / $137.90	Professional		$69.80	$110.32	$137.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $60.80 / $106.40	Professional		$29.61	$60.80	$106.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $63.49 / $134.37	Facility		$18.53	$63.49	$134.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $36.47 / $125.25	Professional		$10.06	$36.47	$125.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $79.04 / $133.25	Facility		$14.69	$79.04	$133.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $78.45 / $133.25	Professional		$20.55	$78.45	$133.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $36.47 / $62.62	Professional		$10.51	$36.47	$62.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $60.80 / $60.80	Professional		$48.03	$60.80	$60.80