Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $64.18 / $141.86	Facility		$64.18	$64.18	$141.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $64.18	Professional		$51.34	$51.34	$64.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $60.75 / $75.94	Professional		$60.75	$60.75	$75.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $42.72 / $150.00	Professional		$38.15	$42.72	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $64.18 / $86.76	Facility		$1.00	$64.18	$86.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $56.42 / $70.30	Professional		$44.09	$56.42	$70.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $77.20 / $116.63	Facility		$39.00	$77.20	$116.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $67.76 / $78.01	Professional		$34.76	$67.76	$78.01
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $57.55	Professional		$56.42	$56.42	$57.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42