Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $147.84	Facility		$33.22	$33.22	$147.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $49.95 / $134.16	Professional		$33.22	$49.95	$134.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $63.10 / $68.53	Professional		$54.83	$63.10	$68.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $90.41 / $198.20	Professional		$49.95	$90.41	$198.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $64.58 / $109.62	Facility		$33.22	$64.58	$109.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $67.20 / $109.89	Professional		$59.98	$67.20	$109.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $66.94 / $87.85	Facility		$46.43	$66.94	$87.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $80.64 / $147.69	Professional		$46.43	$80.64	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $49.95 / $51.45	Professional		$43.96	$49.95	$51.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20