Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $144.54	Facility		$72.44	$97.72	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $190.55	Professional		$72.44	$97.72	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $93.33	Professional		$74.13	$83.18	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $501.19	Professional		$69.18	$107.15	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $128.82	Facility		$87.10	$97.72	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $131.83	Professional		$74.13	$74.13	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $123.03	Facility		$0.07	$0.07	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Professional		$72.44	$72.44	$77.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79