Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $76.38 / $149.13	Facility		$42.32	$76.38	$149.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $34.15 / $38.08	Professional		$25.91	$34.15	$38.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $71.16 / $88.94	Professional		$47.11	$71.16	$88.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $71.06 / $183.14	Professional		$39.26	$71.06	$183.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $54.96 / $123.08	Facility		$39.26	$54.96	$123.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $47.11 / $185.79	Professional		$23.56	$47.11	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $71.98 / $123.08	Facility		$47.11	$71.98	$123.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $75.77 / $102.92	Professional		$47.11	$75.77	$102.92
United Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $23.56 / $85.59	Professional		$23.56	$23.56	$85.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Professional		$39.26	$39.26	$39.26