Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $82.42 / $161.15	Facility		$82.42	$82.42	$161.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $88.67 / $250.48	Professional		$70.38	$88.67	$250.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $74.39 / $89.63	Professional		$71.70	$74.39	$89.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $99.68 / $150.00	Professional		$70.38	$99.68	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $84.45 / $131.00	Facility		$74.15	$84.45	$131.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $82.39 / $105.56	Professional		$71.09	$82.39	$105.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $84.45 / $105.56	Facility		$67.06	$84.45	$105.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $84.45 / $132.93	Professional		$71.65	$84.45	$132.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $81.62 / $86.54	Professional		$72.23	$81.62	$86.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Facility		$70.38	$70.38	$70.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38