Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $254.67 / $341.30	Facility		$118.03	$254.67	$341.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $84.31 / $295.93	Professional		$72.26	$84.31	$295.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $198.45 / $248.06	Professional		$125.55	$198.45	$248.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $164.24 / $314.49	Professional		$109.49	$164.24	$314.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $141.30 / $292.33	Facility		$109.49	$141.30	$292.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $109.49 / $251.83	Professional		$65.69	$109.49	$251.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $183.73 / $255.00	Facility		$98.37	$183.73	$255.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $155.97 / $255.00	Professional		$103.41	$155.97	$255.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $238.69	Professional		$65.69	$65.69	$238.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $109.49 / $109.49	Professional		$86.50	$109.49	$109.49