Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $177.10 / $288.27	Facility		$75.59	$177.10	$288.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $60.65 / $60.65	Professional		$37.34	$60.65	$60.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $143.62 / $179.52	Professional		$90.86	$143.62	$179.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $93.36 / $137.85	Professional		$48.25	$93.36	$137.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $94.52 / $199.66	Facility		$35.84	$94.52	$199.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $52.00 / $162.27	Professional		$17.12	$52.00	$162.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $102.40 / $172.62	Facility		$34.76	$102.40	$172.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $101.64 / $172.62	Professional		$45.70	$101.64	$172.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $47.26 / $127.95	Professional		$17.12	$47.26	$127.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $78.77 / $78.77	Professional		$62.23	$78.77	$78.77