Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $162.96 / $227.94	Facility		$83.76	$162.96	$227.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Professional		$55.28	$55.28	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $152.10 / $190.13	Professional		$96.23	$152.10	$190.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $121.45 / $151.61	Professional		$71.20	$121.45	$151.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $108.08 / $314.72	Facility		$83.76	$108.08	$314.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $50.26 / $211.83	Professional		$50.26	$50.26	$211.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $153.18 / $183.56	Facility		$100.59	$153.18	$183.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $164.84 / $218.61	Professional		$100.51	$164.84	$218.61
United Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Facility		$83.76	$83.76	$83.76
United Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $50.26 / $171.50	Professional		$50.26	$50.26	$171.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $83.76 / $83.76	Professional		$66.17	$83.76	$83.76