Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $275.42	Facility		$72.44	$181.97	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $134.90	Professional		$63.10	$81.28	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $229.09	Professional		$114.82	$181.97	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $204.17	Professional		$95.50	$165.96	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $245.47	Facility		$95.50	$114.82	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $234.42	Professional		$57.54	$95.50	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $123.03	Professional		$100.00	$114.82	$123.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $208.93	Facility		$95.50	$95.50	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $218.78	Professional		$57.54	$66.07	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $95.50	Professional		$75.86	$95.50	$95.50