Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $122.00 / $174.45	Facility		$77.59	$122.00	$174.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $87.68 / $122.00	Professional		$78.92	$87.68	$122.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $62.85 / $66.70	Professional		$53.36	$62.85	$66.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $119.34 / $186.84	Professional		$78.92	$119.34	$186.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $62.85 / $122.00	Facility		$51.41	$62.85	$122.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $56.55 / $83.86	Professional		$51.41	$56.55	$83.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $85.95 / $131.38	Facility		$61.69	$85.95	$131.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $63.73 / $106.58	Professional		$61.69	$63.73	$106.58
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $81.29 / $93.91	Professional		$78.92	$81.29	$93.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Facility		$51.41	$51.41	$51.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Professional		$51.41	$51.41	$51.41