Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $152.27 / $273.70	Facility		$69.44	$152.27	$273.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $49.60 / $174.10	Professional		$42.51	$49.60	$174.10
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 / $96.62 / $286.70	Professional		$64.41	$96.62	$286.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $108.52 / $307.83	Facility		$64.41	$108.52	$307.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $64.41 / $177.34	Professional		$38.65	$64.41	$177.34
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 / $185.56	Professional		$77.34	$131.22	$185.56
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $42.94 / $156.02	Professional		$38.65	$42.94	$156.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $64.41 / $64.41	Professional		$50.88	$64.41	$64.41