Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $58.01 / $58.01	Facility		$58.01	$58.01	$58.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $61.96 / $79.45	Professional		$31.34	$61.96	$79.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $120.94	Professional		$96.75	$96.75	$120.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $83.49 / $150.00	Professional		$82.97	$83.49	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $107.27 / $390.73	Facility		$77.59	$107.27	$390.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $85.90 / $139.66	Professional		$42.69	$85.90	$139.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $93.11 / $114.75	Facility		$91.56	$93.11	$114.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $104.18 / $175.48	Professional		$73.95	$104.18	$175.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $69.41 / $108.00	Professional		$41.65	$69.41	$108.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Facility		$83.49	$83.49	$83.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $83.49	Professional		$83.49	$83.49	$83.49