Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $81.08 / $171.00	Facility		$44.93	$81.08	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $36.26 / $142.00	Professional		$32.09	$36.26	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $75.72 / $94.66	Professional		$50.02	$75.72	$94.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $75.44 / $126.30	Professional		$41.68	$75.44	$126.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $58.35 / $126.98	Facility		$41.68	$58.35	$126.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $49.00 / $185.79	Professional		$25.01	$49.00	$185.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $76.42 / $126.98	Facility		$50.02	$76.42	$126.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $77.98 / $108.78	Professional		$50.02	$77.98	$108.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $77.11	Professional		$25.01	$25.01	$77.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $41.68 / $41.68	Professional		$41.68	$41.68	$41.68