Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $170.02 / $269.10	Facility		$59.98	$170.02	$269.10
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 $38.71 / $69.03 / $95.66	Facility		$38.71	$69.03	$95.66
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 / $69.00 / $103.51	Facility		$63.69	$69.00	$103.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $63.69 / $112.22	Professional		$59.04	$63.69	$112.22
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $54.67	Professional		$53.08	$53.08	$54.67
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