Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $76.20 / $80.98	Facility		$76.20	$76.20	$80.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $48.49 / $61.32	Professional		$42.89	$48.49	$61.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $100.89 / $120.06	Professional		$77.15	$100.89	$120.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $56.68 / $198.02	Professional		$44.25	$56.68	$198.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.30 / $77.15 / $240.69	Facility		$44.30	$77.15	$240.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $83.87 / $178.60	Professional		$58.10	$83.87	$178.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $102.24 / $115.35	Facility		$72.00	$102.24	$115.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $102.24 / $144.69	Professional		$72.00	$102.24	$144.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $64.56 / $124.00	Professional		$55.32	$64.56	$124.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $75.30 / $75.30	Professional		$64.00	$75.30	$75.30