Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $140.29 / $188.73	Facility		$88.87	$140.29	$188.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $50.78	Professional		$50.78	$50.78	$50.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $49.13 / $61.41	Professional		$49.13	$49.13	$61.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $67.91 / $388.00	Professional		$50.93	$67.91	$388.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $65.33 / $196.75	Facility		$38.71	$65.33	$196.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $52.89 / $65.26	Professional		$46.28	$52.89	$65.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $46.28 / $65.26	Facility		$35.38	$46.28	$65.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $48.36 / $71.12	Professional		$35.38	$48.36	$71.12
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $56.11	Professional		$52.89	$52.89	$56.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $73.72 / $73.72	Facility		$73.72	$73.72	$73.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $73.72 / $73.72	Professional		$73.72	$73.72	$73.72