Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $57.82 / $57.82	Facility		$57.82	$57.82	$57.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $75.84 / $75.84	Professional		$57.82	$75.84	$75.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $55.95 / $66.09	Professional		$52.88	$55.95	$66.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $20.21 / $102.28	Professional		$12.97	$20.21	$102.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $63.58 / $125.84	Facility		$57.82	$63.58	$125.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $84.04 / $92.88	Professional		$74.37	$84.04	$92.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.58 / $63.58 / $63.58	Facility		$63.58	$63.58	$63.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $63.58 / $63.58	Professional		$63.58	$63.58	$63.58
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $84.04 / $94.35	Professional		$74.37	$84.04	$94.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Facility		$73.00	$73.00	$73.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00