Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $79.02 / $157.65	Facility		$79.02	$79.02	$157.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $79.02 / $166.11	Professional		$66.64	$79.02	$166.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $73.37 / $82.97	Professional		$66.38	$73.37	$82.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $66.64 / $120.62	Professional		$62.16	$66.64	$120.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $78.18 / $106.67	Facility		$71.00	$78.18	$106.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $79.97 / $106.67	Professional		$71.66	$79.97	$106.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $98.37 / $131.88	Facility		$72.23	$98.37	$131.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $78.18 / $128.35	Professional		$61.96	$78.18	$128.35
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $69.97 / $74.64	Professional		$66.64	$69.97	$74.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $71.66 / $71.66	Facility		$71.66	$71.66	$71.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $71.66 / $71.66	Professional		$71.66	$71.66	$71.66