Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $101.93 / $107.67	Facility		$60.54	$101.93	$107.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $29.16 / $52.00	Professional		$28.37	$29.16	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $41.20	Professional		$32.96	$32.96	$41.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $54.79 / $150.00	Professional		$47.72	$54.79	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $34.08 / $66.45	Facility		$30.67	$34.08	$66.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $36.59 / $45.56	Professional		$32.38	$36.59	$45.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $39.82 / $49.92	Facility		$26.66	$39.82	$49.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $39.51 / $67.98	Professional		$27.35	$39.51	$67.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $36.59 / $38.21	Professional		$32.38	$36.59	$38.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52