Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $62.84 / $190.93	Facility		$62.84	$62.84	$190.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $69.09 / $188.49	Professional		$62.84	$69.09	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $57.52 / $70.83	Professional		$56.66	$57.52	$70.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $55.62 / $100.67	Professional		$44.50	$55.62	$100.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $62.84 / $83.43	Facility		$57.47	$62.84	$83.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $71.98 / $83.43	Professional		$65.36	$71.98	$83.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $83.43 / $130.71	Facility		$65.36	$83.43	$130.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $67.48 / $105.23	Professional		$60.32	$67.48	$105.23
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $74.14	Professional		$71.98	$71.98	$74.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Facility		$71.98	$71.98	$71.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98