Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $135.24 / $189.18	Facility		$69.52	$135.24	$189.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $53.53 / $187.89	Professional		$45.88	$53.53	$187.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $126.64 / $158.30	Professional		$80.12	$126.64	$158.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $104.28 / $724.99	Professional		$76.47	$104.28	$724.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $90.38 / $330.22	Facility		$69.52	$90.38	$330.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $62.57 / $175.82	Professional		$41.71	$62.57	$175.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $132.35 / $272.89	Facility		$83.50	$132.35	$272.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $127.47 / $177.28	Professional		$83.42	$127.47	$177.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $159.90	Professional		$41.71	$41.71	$159.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $69.52 / $69.52	Professional		$54.92	$69.52	$69.52