Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $166.85 / $233.39	Facility		$92.46	$166.85	$233.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $80.62 / $231.80	Professional		$80.62	$80.62	$231.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $208.24 / $260.30	Professional		$103.02	$208.24	$260.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $150.00 / $207.12	Professional		$97.27	$150.00	$207.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $137.32 / $374.90	Facility		$103.02	$137.32	$374.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $57.18 / $223.86	Professional		$51.46	$57.18	$223.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.68 / $181.43 / $269.01	Facility		$110.68	$181.43	$269.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $184.98 / $223.86	Professional		$110.68	$184.98	$223.86
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $57.18 / $195.13	Professional		$51.46	$57.18	$195.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $114.43 / $114.43	Professional		$90.40	$114.43	$114.43