Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $119.18 / $214.21	Facility		$54.35	$119.18	$214.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $38.82 / $136.26	Professional		$33.27	$38.82	$136.26
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 $50.41 / $88.22 / $173.03	Professional		$50.41	$88.22	$173.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $84.49 / $239.45	Facility		$50.41	$84.49	$239.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $51.92 / $138.55	Professional		$30.25	$51.92	$138.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $102.70 / $158.04	Facility		$65.05	$102.70	$158.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $102.70 / $144.41	Professional		$60.54	$102.70	$144.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $30.91 / $115.94	Professional		$30.25	$30.91	$115.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $50.41 / $50.41	Professional		$39.82	$50.41	$50.41