Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $217.94 / $304.83	Facility		$112.02	$217.94	$304.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $105.30 / $302.77	Professional		$105.30	$105.30	$302.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $203.02 / $253.78	Professional		$128.44	$203.02	$253.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $150.00 / $202.76	Professional		$95.22	$150.00	$202.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $144.55 / $299.08	Facility		$112.02	$144.55	$299.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $257.64	Professional		$67.20	$67.20	$257.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $196.04 / $245.50	Facility		$134.41	$196.04	$245.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $196.04 / $245.50	Professional		$134.41	$196.04	$245.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $361.50	Professional		$67.20	$67.20	$361.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $112.02 / $112.02	Professional		$88.50	$112.02	$112.02