Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Facility		$48.34	$48.34	$48.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $51.63 / $66.22	Professional		$26.11	$51.63	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $80.63 / $100.78	Professional		$80.63	$80.63	$100.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $69.56 / $125.92	Professional		$69.11	$69.56	$125.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $89.40 / $325.58	Facility		$64.78	$89.40	$325.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $71.55 / $116.38	Professional		$35.57	$71.55	$116.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $77.59 / $95.61	Facility		$76.30	$77.59	$95.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $86.45 / $146.22	Professional		$61.63	$86.45	$146.22
United Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $49.16 / $89.99	Professional		$27.18	$49.16	$89.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Facility		$69.56	$69.56	$69.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Professional		$69.56	$69.56	$69.56