Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $173.78 / $263.03	Facility		$70.79	$173.78	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $181.97	Professional		$60.26	$79.43	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $218.78	Professional		$125.89	$173.78	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $213.80	Professional		$91.20	$151.36	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $288.40	Facility		$91.20	$117.49	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $229.09	Professional		$54.95	$109.65	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $125.89	Professional		$109.65	$117.49	$125.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $199.53	Facility		$91.20	$91.20	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $218.78	Professional		$54.95	$67.61	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $91.20	Professional		$72.44	$91.20	$91.20