Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $206.49 / $292.95	Facility		$114.42	$206.49	$292.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $81.73 / $286.87	Professional		$70.05	$81.73	$286.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $192.58 / $240.72	Professional		$121.84	$192.58	$240.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $157.41 / $185.93	Professional		$106.14	$157.41	$185.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.44 / $127.47 / $310.45	Facility		$99.44	$127.47	$310.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $100.54 / $244.12	Professional		$53.97	$100.54	$244.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $176.23 / $232.62	Facility		$78.86	$176.23	$232.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $162.00 / $232.62	Professional		$106.14	$162.00	$232.62
United Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $63.68 / $179.85	Professional		$54.72	$63.68	$179.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $106.14 / $106.14	Professional		$83.85	$106.14	$106.14