Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $74.13	Facility		$66.07	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $239.88	Professional		$66.07	$95.50	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $75.86	Professional		$61.66	$63.10	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $147.91	Professional		$22.91	$36.31	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $112.20	Facility		$70.79	$74.13	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $75.86	Professional		$63.10	$72.44	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $79.43	Professional		$64.57	$74.13	$79.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10