Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $98.38 / $101.33	Facility		$60.95	$98.38	$101.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $67.77 / $143.55	Professional		$39.45	$67.77	$143.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $38.97 / $41.34	Professional		$33.08	$38.97	$41.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $39.45 / $238.68	Professional		$31.56	$39.45	$238.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $50.02 / $207.35	Facility		$38.97	$50.02	$207.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $40.38 / $136.84	Professional		$40.38	$40.38	$136.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $48.46 / $90.70	Facility		$38.97	$48.46	$90.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $77.34 / $249.86	Professional		$40.33	$77.34	$249.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.63	Professional		$39.45	$39.45	$40.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $40.38 / $40.38	Facility		$40.38	$40.38	$40.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $40.38 / $40.38	Professional		$40.38	$40.38	$40.38