Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $134.90 / $204.17	Facility		$53.70	$134.90	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $112.20	Professional		$46.77	$60.26	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $169.82	Professional		$85.11	$134.90	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $93.33 / $234.42	Professional		$12.30	$93.33	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $162.18	Facility		$39.81	$85.11	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $70.79 / $154.88	Professional		$4.07	$70.79	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $91.20	Professional		$64.57	$85.11	$91.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $158.49	Facility		$70.79	$70.79	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $42.66 / $131.83	Professional		$3.98	$42.66	$131.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $70.79	Professional		$56.23	$70.79	$70.79