Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $157.68 / $283.44	Facility		$71.90	$157.68	$283.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $51.36 / $87.78	Professional		$44.02	$51.36	$87.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $120.77 / $150.96	Professional		$76.41	$120.77	$150.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $116.73 / $304.04	Professional		$66.70	$116.73	$304.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $113.35 / $316.83	Facility		$66.70	$113.35	$316.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $68.70 / $182.89	Professional		$40.02	$68.70	$182.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $135.90 / $209.10	Facility		$86.07	$135.90	$209.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $135.90 / $191.10	Professional		$80.11	$135.90	$191.10
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Facility		$66.70	$66.70	$66.70
United Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $40.02 / $153.41	Professional		$40.02	$40.02	$153.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $66.70 / $66.70	Professional		$52.69	$66.70	$66.70