Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $205.57 / $369.50	Facility		$93.74	$205.57	$369.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $66.95 / $235.03	Professional		$57.39	$66.95	$235.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $157.97 / $197.47	Professional		$99.95	$157.97	$197.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $152.18 / $229.29	Professional		$86.96	$152.18	$229.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $148.27 / $413.06	Facility		$86.96	$148.27	$413.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $89.57 / $237.20	Professional		$52.18	$89.57	$237.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $177.16 / $272.62	Facility		$112.21	$177.16	$272.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $177.16 / $237.20	Professional		$104.35	$177.16	$237.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $72.88 / $210.63	Professional		$52.18	$72.88	$210.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $86.96 / $86.96	Professional		$68.70	$86.96	$86.96