Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $114.05 / $182.02	Facility		$63.20	$114.05	$182.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $51.00 / $56.86	Professional		$38.69	$51.00	$56.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $106.41 / $133.01	Professional		$70.34	$106.41	$133.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $104.74 / $207.14	Professional		$58.62	$104.74	$207.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $76.20 / $155.62	Facility		$58.62	$76.20	$155.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $60.38 / $226.81	Professional		$35.17	$60.38	$226.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $107.49 / $155.62	Facility		$70.34	$107.49	$155.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $103.17 / $153.00	Professional		$70.34	$103.17	$153.00
United Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $134.83	Facility		$58.62	$58.62	$134.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $35.17 / $119.66	Professional		$35.17	$35.17	$119.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $58.62	Professional		$58.62	$58.62	$58.62