Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $86.59 / $210.45	Facility		$55.61	$86.59	$210.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $46.94 / $68.55	Professional		$32.54	$46.94	$68.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $90.97 / $132.88	Professional		$51.36	$90.97	$132.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $62.19 / $240.23	Professional		$36.86	$62.19	$240.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $74.44 / $124.82	Facility		$46.72	$74.44	$124.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $102.86 / $218.54	Professional		$53.12	$102.86	$218.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $95.87 / $124.82	Facility		$70.59	$95.87	$124.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $95.87 / $124.82	Professional		$70.26	$95.87	$124.82
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $76.20 / $136.76	Professional		$50.70	$76.20	$136.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $82.40 / $121.70	Professional		$70.09	$82.40	$121.70