Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $174.10 / $440.64	Facility		$69.44	$174.10	$440.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $49.60 / $414.16	Professional		$42.51	$49.60	$414.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $116.85 / $146.06	Professional		$73.93	$116.85	$146.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $112.72 / $414.47	Professional		$64.41	$112.72	$414.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $99.44 / $201.93	Facility		$64.41	$99.44	$201.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $66.34 / $176.23	Professional		$38.65	$66.34	$176.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $131.22 / $201.93	Facility		$78.89	$131.22	$201.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $131.22 / $184.55	Professional		$77.34	$131.22	$184.55
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $53.99 / $162.88	Professional		$38.65	$53.99	$162.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $64.41 / $64.41	Professional		$50.88	$64.41	$64.41