Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $99.82 / $139.63	Facility		$55.31	$99.82	$139.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $44.64 / $70.45	Professional		$39.51	$44.64	$70.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $93.35 / $116.69	Professional		$61.63	$93.35	$116.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $89.79 / $294.29	Professional		$56.44	$89.79	$294.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $66.20 / $131.35	Facility		$51.31	$66.20	$131.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $248.68	Professional		$30.79	$51.31	$248.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $104.55 / $147.00	Facility		$61.57	$104.55	$147.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $104.55 / $140.43	Professional		$61.57	$104.55	$140.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $124.30	Professional		$30.79	$30.79	$124.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31