Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $53.37 / $145.66	Facility		$53.37	$53.37	$145.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.37	Professional		$42.48	$42.48	$53.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $43.77 / $54.47	Professional		$43.58	$43.77	$54.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $68.58 / $99.74	Professional		$42.48	$68.58	$99.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $46.54 / $65.86	Facility		$41.40	$46.54	$65.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $51.32	Professional		$41.40	$41.40	$51.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $64.98 / $101.80	Facility		$49.68	$64.98	$101.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $49.74 / $56.32	Professional		$49.39	$49.74	$56.32
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $43.33	Professional		$42.48	$42.48	$43.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Facility		$41.40	$41.40	$41.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Professional		$41.40	$41.40	$41.40