Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $63.20 / $165.78	Facility		$63.20	$63.20	$165.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $63.20	Professional		$60.00	$60.00	$63.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $70.50 / $88.13	Professional		$70.50	$70.50	$88.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $259.85 / $581.00	Professional		$73.76	$259.85	$581.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $160.38 / $2,613.07	Facility		$63.20	$160.38	$2,613.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $2,730.33	Professional		$62.50	$62.50	$2,730.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.36 / $847.62 / $2,613.07	Facility		$257.36	$847.62	$2,613.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $2,044.20 / $4,015.54	Professional		$98.64	$2,044.20	$4,015.54
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $64.38	Professional		$62.50	$62.50	$64.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Facility		$57.50	$57.50	$57.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50