Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $138.81 / $214.67	Facility		$77.78	$138.81	$214.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $59.89 / $59.89	Professional		$49.63	$59.89	$59.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $141.00 / $176.26	Professional		$89.21	$141.00	$176.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $97.23 / $269.32	Professional		$45.27	$97.23	$269.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $93.41 / $189.32	Facility		$35.90	$93.41	$189.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $52.79 / $170.46	Professional		$16.05	$52.79	$170.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $101.11 / $170.46	Facility		$46.21	$101.11	$170.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $101.54 / $170.46	Professional		$57.04	$101.54	$170.46
United Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $46.67 / $169.56	Professional		$16.53	$46.67	$169.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $77.78 / $77.78	Professional		$61.45	$77.78	$77.78