Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $140.44 / $367.50	Facility		$77.83	$140.44	$367.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $55.59 / $462.00	Professional		$47.65	$55.59	$462.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $131.21 / $164.02	Professional		$83.01	$131.21	$164.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $108.29 / $299.33	Professional		$79.41	$108.29	$299.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $93.16 / $284.01	Facility		$71.91	$93.16	$284.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $48.44 / $182.57	Professional		$43.31	$48.44	$182.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $132.37 / $284.01	Facility		$86.70	$132.37	$284.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $132.37 / $188.42	Professional		$86.63	$132.37	$188.42
United Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $157.37	Professional		$43.31	$43.31	$157.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $72.19 / $72.19	Professional		$57.03	$72.19	$72.19