Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $215.48 / $341.08	Facility		$98.27	$215.48	$341.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $70.19 / $246.37	Professional		$60.17	$70.19	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $165.81 / $207.26	Professional		$104.90	$165.81	$207.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $150.00 / $211.66	Professional		$91.16	$150.00	$211.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $144.10 / $424.99	Facility		$91.16	$144.10	$424.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $93.89 / $231.23	Professional		$54.70	$93.89	$231.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $185.73 / $285.79	Facility		$117.64	$185.73	$285.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $185.73 / $249.39	Professional		$109.48	$185.73	$249.39
United Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $55.90 / $209.67	Professional		$54.70	$55.90	$209.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $91.16 / $91.16	Professional		$72.02	$91.16	$91.16