Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.63 / $189.97 / $341.39	Facility		$86.63	$189.97	$341.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $61.88 / $217.20	Professional		$53.04	$61.88	$217.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $145.57 / $181.97	Professional		$92.10	$145.57	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $120.56 / $211.87	Professional		$80.37	$120.56	$211.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $136.99 / $381.76	Facility		$80.37	$136.99	$381.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $82.78 / $219.46	Professional		$48.22	$82.78	$219.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $163.75 / $251.96	Facility		$103.71	$163.75	$251.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $160.76 / $219.46	Professional		$96.44	$160.76	$219.46
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $48.22 / $184.85	Professional		$48.22	$48.22	$184.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $80.37 / $80.37	Professional		$63.49	$80.37	$80.37