Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $82.42 / $140.56	Facility		$82.42	$82.42	$140.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $82.42 / $113.43	Professional		$75.15	$82.42	$113.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $78.06 / $95.72	Professional		$76.58	$78.06	$95.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $99.37 / $136.02	Professional		$75.15	$99.37	$136.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $82.42 / $131.05	Facility		$55.99	$82.42	$131.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $77.76 / $97.69	Professional		$37.04	$77.76	$97.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $90.17 / $97.69	Facility		$34.00	$90.17	$97.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $74.81 / $90.17	Professional		$29.06	$74.81	$90.17
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $81.59 / $86.51	Professional		$72.20	$81.59	$86.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Facility		$75.15	$75.15	$75.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Professional		$75.15	$75.15	$75.15