Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $93.75 / $96.56	Facility		$47.32	$93.75	$96.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $52.61 / $93.75	Professional		$36.69	$52.61	$93.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $30.71 / $32.58	Professional		$26.06	$30.71	$32.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $36.69 / $66.41	Professional		$16.07	$36.69	$66.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $36.74 / $93.75	Facility		$11.00	$36.74	$93.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $31.35 / $42.39	Professional		$19.17	$31.35	$42.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $36.74 / $46.33	Facility		$11.00	$36.74	$46.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $32.27 / $54.22	Professional		$13.34	$32.27	$54.22
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $37.42	Professional		$36.69	$36.69	$37.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Facility		$31.35	$31.35	$31.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35