Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $159.24 / $286.22	Facility		$72.62	$159.24	$286.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $51.87 / $182.06	Professional		$44.46	$51.87	$182.06
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 $67.36 / $108.62 / $177.66	Professional		$67.36	$108.62	$177.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $112.93 / $321.95	Facility		$67.36	$112.93	$321.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $67.36 / $183.99	Professional		$40.42	$67.36	$183.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $137.22 / $211.17	Facility		$82.49	$137.22	$211.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $137.22 / $183.99	Professional		$80.89	$137.22	$183.99
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $56.47 / $154.93	Professional		$40.42	$56.47	$154.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $67.36 / $67.36	Professional		$53.21	$67.36	$67.36