Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $88.04	Facility		$45.60	$45.60	$88.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $45.60 / $103.88	Professional		$39.83	$45.60	$103.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $42.18 / $50.77	Professional		$40.61	$42.18	$50.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $72.09 / $106.75	Professional		$39.83	$72.09	$106.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $45.60 / $61.40	Facility		$39.82	$45.60	$61.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $56.61	Professional		$39.83	$39.83	$56.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $59.81 / $93.69	Facility		$47.79	$59.81	$93.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $47.93 / $101.46	Professional		$45.45	$47.93	$101.46
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $40.63	Professional		$39.83	$39.83	$40.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83