Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $49.58 / $109.59	Facility		$49.58	$49.58	$109.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $49.58	Professional		$39.65	$39.65	$49.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $44.06	Professional		$35.25	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $86.69 / $101.65	Professional		$35.54	$86.69	$101.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $43.79 / $49.81	Facility		$22.13	$43.79	$49.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $41.31 / $47.69	Professional		$30.24	$41.31	$47.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $47.30 / $87.65	Facility		$22.13	$47.30	$87.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $32.43 / $47.69	Professional		$22.13	$32.43	$47.69
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $42.55	Professional		$41.31	$41.31	$42.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Facility		$41.31	$41.31	$41.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31