Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $426.58	Facility		$91.20	$177.83	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $316.23	Professional		$46.77	$72.44	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $147.91	Professional		$74.13	$120.23	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $354.81	Professional		$67.61	$109.65	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $79.43 / $263.03	Facility		$61.66	$79.43	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $162.18	Professional		$37.15	$61.66	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $316.23	Professional		$74.13	$79.43	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $138.04	Facility		$61.66	$61.66	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $144.54	Professional		$37.15	$47.86	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $61.66	Professional		$48.98	$61.66	$61.66