Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $123.40	Facility		$63.92	$63.92	$123.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $55.95 / $94.13	Professional		$50.37	$55.95	$94.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $61.01 / $76.27	Professional		$61.01	$61.01	$76.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $50.37 / $112.53	Professional		$41.42	$50.37	$112.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $63.92 / $78.52	Facility		$35.00	$63.92	$78.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $61.70 / $79.17	Professional		$47.68	$61.70	$79.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $90.03 / $124.57	Facility		$45.39	$90.03	$124.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.31 / $90.03	Professional		$34.67	$67.31	$90.03
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $51.88 / $59.94	Professional		$50.37	$51.88	$59.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $56.09 / $56.09	Facility		$56.09	$56.09	$56.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $56.09 / $56.09	Professional		$56.09	$56.09	$56.09