Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $122.06	Facility		$61.88	$61.88	$122.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $61.88 / $164.56	Professional		$54.71	$61.88	$164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $58.69 / $72.38	Professional		$57.90	$58.69	$72.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $54.71 / $257.35	Professional		$41.94	$54.71	$257.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $66.58 / $87.74	Facility		$55.48	$66.58	$87.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $55.48 / $93.69	Professional		$55.48	$55.48	$93.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $83.92 / $118.40	Facility		$66.58	$83.92	$118.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $73.48 / $128.59	Professional		$63.78	$73.48	$128.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $58.04	Professional		$54.71	$54.71	$58.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $55.48 / $55.48	Facility		$55.48	$55.48	$55.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $55.48 / $55.48	Professional		$55.48	$55.48	$55.48