Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $124.89 / $174.69	Facility		$64.19	$124.89	$174.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $49.43 / $49.43	Professional		$42.37	$49.43	$49.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $116.20 / $145.25	Professional		$73.51	$116.20	$145.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $93.08 / $116.18	Professional		$54.56	$93.08	$116.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $82.83 / $241.18	Facility		$64.19	$82.83	$241.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $38.51 / $162.34	Professional		$38.51	$38.51	$162.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $117.38 / $140.68	Facility		$77.09	$117.38	$140.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $126.33 / $167.54	Professional		$77.03	$126.33	$167.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $38.51 / $147.63	Professional		$38.51	$38.51	$147.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $64.19 / $64.19	Professional		$50.71	$64.19	$64.19