Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $70.37 / $145.07	Facility		$70.37	$70.37	$145.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $70.37 / $147.24	Professional		$65.63	$70.37	$147.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $66.86 / $66.86	Facility		$66.86	$66.86	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $65.06 / $81.33	Professional		$65.06	$65.06	$81.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $65.63 / $2,588.23	Professional		$46.82	$65.63	$2,588.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.37 / $97.52	Facility		$60.00	$70.37	$97.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $65.73 / $96.10	Professional		$60.00	$65.73	$96.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $96.10 / $131.38	Facility		$67.70	$96.10	$131.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $73.76 / $120.14	Professional		$59.00	$73.76	$120.14
United Facility/Professional Facility Modifier Low / Median / High Price $105.40 / $105.40 / $105.40	Facility		$105.40	$105.40	$105.40
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $66.94	Professional		$65.63	$65.63	$66.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $65.73 / $65.73	Facility		$65.73	$65.73	$65.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $65.73 / $65.73	Professional		$65.73	$65.73	$65.73