Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $87.67 / $532.24	Facility		$55.10	$87.67	$532.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $39.20 / $81.59	Professional		$21.31	$39.20	$81.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $55.62 / $60.47	Professional		$48.38	$55.62	$60.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $67.20 / $83.89	Professional		$49.76	$67.20	$83.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $62.57 / $123.75	Facility		$34.69	$62.57	$123.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $27.81 / $85.75	Professional		$11.66	$27.81	$85.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $64.89 / $120.51	Facility		$55.62	$64.89	$120.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $63.34 / $118.19	Professional		$30.41	$63.34	$118.19
United Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Facility		$46.35	$46.35	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $27.81 / $62.73	Professional		$11.66	$27.81	$62.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $46.35 / $46.35	Professional		$36.61	$46.35	$46.35