Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $190.85 / $674.35	Facility		$105.76	$190.85	$674.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $75.54 / $265.14	Professional		$64.75	$75.54	$265.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $178.21 / $222.77	Professional		$112.75	$178.21	$222.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $147.16 / $177.58	Professional		$98.11	$147.16	$177.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $126.60 / $334.01	Facility		$98.11	$126.60	$334.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $97.39 / $225.65	Professional		$54.38	$97.39	$225.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $175.26 / $228.25	Facility		$78.89	$175.26	$228.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $164.63 / $228.25	Professional		$98.11	$164.63	$228.25
United Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
United Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $58.87 / $213.88	Professional		$54.38	$58.87	$213.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $98.11 / $98.11	Professional		$77.51	$98.11	$98.11