Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $171.58 / $239.99	Facility		$95.07	$171.58	$239.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $67.91 / $67.91	Professional		$58.40	$67.91	$67.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $133.16 / $166.46	Professional		$109.92	$133.16	$166.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $46.76 / $190.32	Professional		$30.57	$46.76	$190.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $133.00 / $426.26	Facility		$72.89	$133.00	$426.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $75.59 / $222.57	Professional		$34.36	$75.59	$222.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $151.10 / $219.95	Facility		$64.36	$151.10	$219.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $144.11 / $238.73	Professional		$75.59	$144.11	$238.73
United Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $56.17 / $159.94	Professional		$36.32	$56.17	$159.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $56.70 / $66.70	Professional		$44.79	$56.70	$66.70