Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $143.58 / $218.93	Facility		$26.14	$143.58	$218.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $61.95 / $217.45	Professional		$53.10	$61.95	$217.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $146.22 / $182.78	Professional		$92.51	$146.22	$182.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $104.60 / $145.63	Professional		$15.19	$104.60	$145.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $80.45 / $177.82	Facility		$11.53	$80.45	$177.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $48.28 / $165.75	Professional		$5.28	$48.28	$165.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $104.60 / $176.33	Facility		$10.55	$104.60	$176.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $103.82 / $176.33	Professional		$14.78	$103.82	$176.33
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $48.28 / $148.85	Professional		$5.54	$48.28	$148.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $80.45 / $80.45	Professional		$63.56	$80.45	$80.45