Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $63.38 / $140.10	Facility		$63.38	$63.38	$140.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $63.38 / $88.90	Professional		$50.70	$63.38	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $28.78	Professional		$23.03	$23.03	$28.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $99.10 / $116.20	Professional		$9.11	$99.10	$116.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $27.14 / $63.38	Facility		$8.15	$27.14	$63.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $52.82 / $56.04	Professional		$23.77	$52.82	$56.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $27.14 / $37.14	Facility		$8.15	$27.14	$37.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $34.36 / $66.54	Professional		$8.52	$34.36	$66.54
United Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $111.41 / $111.41	Facility		$111.41	$111.41	$111.41
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $53.88	Professional		$52.82	$52.82	$53.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $52.83 / $52.83	Facility		$52.83	$52.83	$52.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $52.83 / $52.83	Professional		$52.83	$52.83	$52.83