Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Facility		$53.53	$53.53	$53.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $59.03 / $179.89	Professional		$44.00	$59.03	$179.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $42.97 / $53.44	Professional		$42.75	$42.97	$53.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $29.68 / $59.72	Professional		$17.63	$29.68	$59.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $48.83 / $56.12	Facility		$41.14	$48.83	$56.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $50.54 / $55.38	Professional		$40.46	$50.54	$55.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $41.95 / $58.15	Facility		$39.00	$41.95	$58.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $44.33 / $54.81	Professional		$32.19	$44.33	$54.81
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $50.54 / $53.53	Professional		$44.73	$50.54	$53.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Facility		$44.73	$44.73	$44.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Professional		$44.73	$44.73	$44.73