Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $74.79 / $74.79	Facility		$74.79	$74.79	$74.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $103.20 / $237.19	Professional		$66.56	$103.20	$237.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $62.77 / $76.41	Professional		$61.13	$62.77	$76.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $34.71 / $142.99	Professional		$23.07	$34.71	$142.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $74.79 / $101.69	Facility		$71.22	$74.79	$101.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $71.98 / $76.58	Professional		$63.70	$71.98	$76.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $71.33 / $102.33	Facility		$71.22	$71.33	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $71.33 / $71.33	Professional		$71.22	$71.33	$71.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $71.98 / $76.58	Professional		$63.70	$71.98	$76.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Facility		$62.82	$62.82	$62.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Professional		$62.82	$62.82	$62.82