Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $185.00 / $255.49	Facility		$84.36	$185.00	$255.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $60.26 / $211.51	Professional		$51.65	$60.26	$211.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $142.31 / $177.89	Professional		$90.03	$142.31	$177.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $136.96 / $166.72	Professional		$78.26	$136.96	$166.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $118.71 / $318.37	Facility		$78.26	$118.71	$318.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $78.26 / $197.92	Professional		$46.96	$78.26	$197.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $159.44 / $216.62	Facility		$100.99	$159.44	$216.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $159.44 / $213.93	Professional		$93.91	$159.44	$213.93
United Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $50.39 / $167.96	Professional		$46.96	$50.39	$167.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $78.26 / $78.26	Professional		$61.83	$78.26	$78.26