Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $137.11 / $246.44	Facility		$62.52	$137.11	$246.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $44.66 / $156.76	Professional		$38.28	$44.66	$156.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $105.10 / $131.38	Professional		$83.12	$105.10	$131.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $101.50 / $176.82	Professional		$58.00	$101.50	$176.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $93.88 / $280.16	Facility		$58.00	$93.88	$280.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $59.74 / $158.50	Professional		$34.79	$59.74	$158.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.03 / $118.16 / $181.83	Facility		$71.03	$118.16	$181.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $118.16 / $166.15	Professional		$69.66	$118.16	$166.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $47.35 / $140.47	Professional		$34.79	$47.35	$140.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $58.00 / $58.00	Professional		$45.82	$58.00	$58.00