Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $97.50 / $97.50	Facility		$97.50	$97.50	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $97.50	Professional		$62.41	$62.41	$97.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $77.41 / $105.90	Professional		$64.50	$77.41	$105.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $126.73	Professional		$62.41	$62.41	$126.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $97.50 / $154.08	Facility		$59.81	$97.50	$154.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $119.62	Professional		$59.81	$59.81	$119.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $75.95 / $107.74	Facility		$67.88	$75.95	$107.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $77.41 / $105.90	Professional		$71.77	$77.41	$105.90
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $67.40	Professional		$62.41	$62.41	$67.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $59.81 / $59.81	Facility		$59.81	$59.81	$59.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $59.81 / $59.81	Professional		$47.25	$59.81	$59.81