Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $153.38 / $275.69	Facility		$69.94	$153.38	$275.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $49.96 / $175.36	Professional		$42.82	$49.96	$175.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $118.16 / $147.69	Professional		$74.75	$118.16	$147.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $101.04 / $171.11	Professional		$64.88	$101.04	$171.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $100.28 / $203.40	Facility		$64.88	$100.28	$203.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $66.83 / $178.45	Professional		$38.93	$66.83	$178.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $108.87 / $203.40	Facility		$77.86	$108.87	$203.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $132.19 / $185.87	Professional		$77.92	$132.19	$185.87
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $43.25 / $149.22	Professional		$38.93	$43.25	$149.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $64.88 / $64.88	Professional		$51.26	$64.88	$64.88