Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $84.96 / $87.51	Facility		$46.49	$84.96	$87.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $51.69 / $133.62	Professional		$28.61	$51.69	$133.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $26.66 / $28.31	Professional		$22.65	$26.66	$28.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $250.36	Professional		$28.61	$28.61	$250.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $40.86 / $193.95	Facility		$26.66	$40.86	$193.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $30.80 / $174.03	Professional		$30.80	$30.80	$174.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $36.96 / $100.54	Facility		$26.66	$36.96	$100.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $53.34 / $187.45	Professional		$28.91	$53.34	$187.45
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $31.47	Professional		$28.61	$28.61	$31.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $30.80 / $30.80	Facility		$30.80	$30.80	$30.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $30.80 / $30.80	Professional		$30.80	$30.80	$30.80