Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $199.53	Facility		$52.48	$104.71	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $234.42	Professional		$52.48	$53.70	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $67.61	Professional		$53.70	$56.23	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $151.36	Professional		$52.48	$75.86	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $70.79 / $95.50	Facility		$38.90	$70.79	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $81.28	Professional		$52.48	$52.48	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $54.95	Professional		$52.48	$52.48	$54.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48