Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $158.49	Facility		$43.65	$109.65	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $72.44	Professional		$38.02	$46.77	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $138.04	Professional		$69.18	$109.65	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $102.33	Professional		$48.98	$61.66	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $120.23	Facility		$37.15	$63.10	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $52.48 / $173.78	Professional		$18.20	$52.48	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Professional		$69.18	$69.18	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $134.90	Facility		$57.54	$57.54	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $34.67 / $91.20	Professional		$16.98	$34.67	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54