Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $66.07	Professional		$36.31	$56.23	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Professional		$81.28	$81.28	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $125.89	Professional		$69.18	$74.13	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $323.59	Facility		$64.57	$87.10	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $75.86 / $120.23	Professional		$34.67	$75.86	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $95.50	Professional		$75.86	$89.13	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $120.23	Professional		$34.67	$57.54	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18