Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $119.92	Facility		$68.59	$68.59	$119.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $72.34	Professional		$36.11	$36.11	$72.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $160.93	Professional		$21.70	$21.70	$160.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.79 / $333.67 / $416.76	Professional		$271.79	$333.67	$416.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $107.17 / $205.13	Facility		$64.95	$107.17	$205.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $144.21 / $160.93	Professional		$136.85	$144.21	$160.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.36 / $160.93 / $160.93	Facility		$156.36	$160.93	$160.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $152.15 / $160.93	Professional		$136.85	$152.15	$160.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $84.29 / $84.29	Professional		$66.59	$84.29	$84.29