Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.85 / $141.75 / $269.93	Facility		$100.85	$141.75	$269.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $182.00	Professional		$53.08	$53.08	$182.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $55.77 / $67.59	Professional		$54.08	$55.77	$67.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $150.00	Professional		$53.08	$53.08	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $63.69 / $89.71	Facility		$53.08	$63.69	$89.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $79.62	Professional		$53.08	$53.08	$79.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.69 / $79.62 / $124.74	Facility		$63.69	$79.62	$124.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $63.69 / $114.91	Professional		$57.27	$63.69	$114.91
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $58.39	Professional		$53.08	$53.08	$58.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Facility		$53.08	$53.08	$53.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08