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 / $71.66 / $79.02	Professional		$66.64	$71.66	$79.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $78.18 / $82.97	Professional		$66.38	$78.18	$82.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $150.00	Professional		$66.64	$66.64	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $78.18 / $106.87	Facility		$71.00	$78.18	$106.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $75.23 / $92.26	Professional		$71.00	$75.23	$92.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.17 / $98.91 / $154.96	Facility		$75.17	$98.91	$154.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $75.91 / $106.87	Professional		$62.69	$75.91	$106.87
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $74.64	Professional		$66.64	$74.64	$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