Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $83.35 / $273.60	Facility		$46.19	$83.35	$273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $37.27 / $41.55	Professional		$28.27	$37.27	$41.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $77.68 / $97.10	Professional		$51.45	$77.68	$97.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $77.54 / $203.35	Professional		$42.84	$77.54	$203.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $66.15 / $134.30	Facility		$42.84	$66.15	$134.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.45 / $226.81	Professional		$25.70	$51.45	$226.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $87.28 / $134.30	Facility		$51.41	$87.28	$134.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $88.25 / $125.65	Professional		$51.45	$88.25	$125.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $116.88	Professional		$25.70	$25.70	$116.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84