Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $158.87 / $285.62	Facility		$72.45	$158.87	$285.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $51.75 / $181.64	Professional		$44.36	$51.75	$181.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.07 / $152.59	Professional		$77.23	$122.07	$152.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $117.62 / $234.92	Professional		$67.20	$117.62	$234.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $112.66 / $319.25	Facility		$67.20	$112.66	$319.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $69.23 / $183.99	Professional		$40.33	$69.23	$183.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $136.94 / $210.70	Facility		$75.62	$136.94	$210.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $136.94 / $192.57	Professional		$80.65	$136.94	$192.57
United Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $44.81 / $162.80	Professional		$40.33	$44.81	$162.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $67.20 / $67.20	Professional		$53.10	$67.20	$67.20