Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $52.67 / $53.21	Facility		$52.67	$52.67	$53.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $50.50 / $65.17	Professional		$47.28	$50.50	$65.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $76.20	Professional		$60.00	$75.00	$76.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $61.49 / $140.36	Professional		$48.38	$61.49	$140.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $117.89 / $275.83	Facility		$19.32	$117.89	$275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $100.76 / $135.29	Professional		$64.61	$100.76	$135.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $78.12 / $125.19	Facility		$66.37	$78.12	$125.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $95.18 / $128.72	Professional		$66.37	$95.18	$128.72
United Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $80.77 / $133.60	Professional		$55.53	$80.77	$133.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $88.70 / $88.70	Professional		$59.57	$88.70	$88.70