Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $143.22	Facility		$64.80	$64.80	$143.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $64.80 / $82.79	Professional		$51.84	$64.80	$82.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $36.15 / $45.19	Professional		$36.15	$36.15	$45.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $30.01 / $35.19	Professional		$12.97	$30.01	$35.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $42.23 / $77.00	Facility		$10.87	$42.23	$77.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $54.00 / $57.29	Professional		$20.68	$54.00	$57.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $38.04 / $49.80	Facility		$10.87	$38.04	$49.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $38.04 / $58.00	Professional		$15.00	$38.04	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $55.62	Professional		$54.00	$54.00	$55.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $33.46 / $33.46	Facility		$33.46	$33.46	$33.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $33.46 / $33.46	Professional		$33.46	$33.46	$33.46