Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $69.22 / $85.34	Facility		$44.05	$69.22	$85.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $77.36 / $159.82	Professional		$69.20	$77.36	$159.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $78.83 / $98.53	Professional		$78.83	$78.83	$98.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $80.05 / $150.00	Professional		$79.54	$80.05	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $81.43 / $158.79	Facility		$73.29	$81.43	$158.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $87.42 / $104.98	Professional		$77.36	$87.42	$104.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $95.15 / $95.99	Facility		$86.02	$95.15	$95.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $94.41 / $119.29	Professional		$87.68	$94.41	$119.29
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $87.42 / $91.28	Professional		$77.36	$87.42	$91.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Facility		$67.98	$67.98	$67.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Professional		$67.98	$67.98	$67.98