Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $39.81 / $53.70	Facility		$33.11	$39.81	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $57.54	Professional		$32.36	$43.65	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $112.20	Professional		$42.66	$89.13	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $117.49	Professional		$45.71	$97.72	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $123.03 / $223.87	Facility		$43.65	$123.03	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $104.71	Professional		$50.12	$85.11	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $123.03	Professional		$70.79	$100.00	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $123.03	Professional		$50.12	$77.62	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $69.18	Professional		$54.95	$69.18	$69.18