Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $45.64 / $119.70	Facility		$31.86	$45.64	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $35.52 / $156.00	Professional		$31.86	$35.52	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $67.50	Professional		$54.00	$54.00	$67.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $118.92 / $139.44	Professional		$89.18	$118.92	$139.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $62.10 / $125.50	Facility		$29.80	$62.10	$125.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $108.05	Professional		$37.00	$37.00	$108.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $67.17 / $91.02	Facility		$30.03	$67.17	$91.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $79.44 / $133.84	Professional		$58.63	$79.44	$133.84
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $38.11	Professional		$37.00	$37.00	$38.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00