Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.05	Professional		$106.97	$106.97	$112.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $48.23 / $116.76	Professional		$38.59	$48.23	$116.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $193.62	Professional		$106.97	$106.97	$193.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $77.70 / $117.20	Facility		$49.38	$77.70	$117.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $64.75 / $129.50	Professional		$56.98	$64.75	$129.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $49.38 / $77.70	Facility		$43.30	$49.38	$77.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $49.38 / $116.76	Professional		$45.44	$49.38	$116.76
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $139.16	Professional		$106.97	$106.97	$139.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $64.75 / $64.75	Professional		$51.15	$64.75	$64.75