Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.89 / $85.89 / $213.55	Facility		$85.89	$85.89	$213.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.89 / $146.63	Professional		$60.00	$85.89	$146.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $87.38 / $109.22	Professional		$87.38	$87.38	$109.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $60.00 / $247.75	Professional		$48.00	$60.00	$247.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $82.66 / $132.05	Facility		$34.00	$82.66	$132.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $97.07 / $116.49	Professional		$49.38	$97.07	$116.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $82.28 / $116.49	Facility		$34.00	$82.28	$116.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.87 / $138.84	Professional		$40.00	$76.87	$138.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $61.80	Professional		$60.00	$60.00	$61.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Facility		$97.07	$97.07	$97.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Professional		$97.07	$97.07	$97.07