Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $58.38 / $129.04	Facility		$58.38	$58.38	$129.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $58.38 / $85.62	Professional		$46.70	$58.38	$85.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $51.28	Professional		$41.03	$41.03	$51.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $49.55 / $58.10	Professional		$17.82	$49.55	$58.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $49.55 / $58.38	Facility		$17.00	$49.55	$58.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $48.65 / $65.01	Professional		$27.17	$48.65	$65.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $47.85 / $63.18	Facility		$17.00	$47.85	$63.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $48.54 / $65.01	Professional		$25.65	$48.54	$65.01
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $49.62	Professional		$48.65	$48.65	$49.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Facility		$48.65	$48.65	$48.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65