Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $213.80 / $309.03	Facility		$85.11	$213.80	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $134.90	Professional		$72.44	$89.13	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $269.15	Professional		$162.18	$213.80	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $204.17	Professional		$95.50	$144.54	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $288.40	Facility		$112.20	$134.90	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $245.47	Professional		$67.61	$67.61	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $144.54	Professional		$134.90	$134.90	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $245.47	Facility		$112.20	$112.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $245.47	Professional		$67.61	$67.61	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $112.20	Professional		$89.13	$112.20	$112.20