Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $93.33 / $109.65	Facility		$44.67	$93.33	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $61.66	Professional		$39.81	$47.86	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $138.04	Professional		$85.11	$109.65	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $194.98	Professional		$40.74	$60.26	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $223.87	Facility		$41.69	$64.57	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $380.19	Professional		$64.57	$100.00	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $141.25	Professional		$72.44	$100.00	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $125.89	Professional		$54.95	$72.44	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $85.11	Professional		$58.88	$70.79	$85.11