Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $119.39 / $214.59	Facility		$54.45	$119.39	$214.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $38.89 / $136.50	Professional		$33.33	$38.89	$136.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $91.39 / $114.24	Professional		$57.82	$91.39	$114.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $88.38 / $231.02	Professional		$50.50	$88.38	$231.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $86.10 / $239.88	Facility		$50.50	$86.10	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $52.02 / $138.55	Professional		$30.30	$52.02	$138.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $102.88 / $158.32	Facility		$64.36	$102.88	$158.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $102.88 / $138.55	Professional		$60.65	$102.88	$138.55
United Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.97 / $116.15	Professional		$30.30	$30.97	$116.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $50.50 / $50.50	Professional		$39.90	$50.50	$50.50