Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $54.41 / $70.01	Facility		$54.41	$54.41	$70.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $50.21 / $63.51	Professional		$40.52	$50.21	$63.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $116.20 / $145.82	Professional		$67.92	$116.20	$145.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $66.41 / $128.16	Professional		$42.39	$66.41	$128.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $77.12 / $222.53	Facility		$46.06	$77.12	$222.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $97.14 / $309.19	Professional		$66.56	$97.14	$309.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $97.14 / $124.49	Facility		$66.56	$97.14	$124.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $97.61 / $126.19	Professional		$67.92	$97.61	$126.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $74.23 / $136.71	Professional		$64.87	$74.23	$136.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $69.59 / $90.40	Professional		$59.10	$69.59	$90.40