Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $56.18 / $66.81	Facility		$56.18	$56.18	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $51.49 / $59.38	Professional		$41.06	$51.49	$59.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $110.73 / $140.07	Professional		$70.70	$110.73	$140.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $63.48 / $150.00	Professional		$43.78	$63.48	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $68.84 / $122.57	Facility		$45.86	$68.84	$122.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $97.99 / $322.24	Professional		$64.81	$97.99	$322.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $97.99 / $122.57	Facility		$68.84	$97.99	$122.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $101.00 / $129.44	Professional		$70.70	$101.00	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $73.67 / $136.81	Professional		$60.93	$73.67	$136.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $71.90 / $86.10	Professional		$61.20	$71.90	$86.10