Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $125.31 / $175.29	Facility		$64.41	$125.31	$175.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $49.60 / $49.60	Professional		$42.51	$49.60	$49.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $116.85 / $146.06	Professional		$73.93	$116.85	$146.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $93.39 / $116.58	Professional		$54.75	$93.39	$116.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $83.11 / $247.26	Facility		$64.41	$83.11	$247.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $148.13	Professional		$38.65	$38.65	$148.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $112.72 / $141.16	Facility		$77.34	$112.72	$141.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $112.72 / $141.16	Professional		$77.29	$112.72	$141.16
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $140.41	Professional		$38.65	$38.65	$140.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $64.41 / $64.41	Professional		$50.88	$64.41	$64.41