Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $287.97 / $287.97	Facility		$48.44	$287.97	$287.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.05 / $287.97	Professional		$63.06	$70.05	$287.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $97.15 / $103.08	Professional		$82.46	$97.15	$103.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $114.14 / $495.50	Professional		$63.06	$114.14	$495.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $97.15 / $287.97	Facility		$32.08	$97.15	$287.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $35.72 / $253.79	Professional		$32.09	$35.72	$253.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $141.54 / $239.58	Facility		$38.50	$141.54	$239.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $182.53 / $390.37	Professional		$38.50	$182.53	$390.37
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $75.04	Professional		$63.06	$63.06	$75.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Facility		$32.09	$32.09	$32.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Professional		$32.09	$32.09	$32.09