Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $208.93	Facility		$60.26	$162.18	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $89.13	Professional		$48.98	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $154.88	Professional		$74.13	$125.89	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $194.98	Professional		$77.62	$117.49	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $380.19	Facility		$60.26	$107.15	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $549.54	Professional		$31.62	$54.95	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $194.98	Professional		$120.23	$181.97	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $181.97	Professional		$120.23	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $524.81	Facility		$245.47	$426.58	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $93.33	Professional		$31.62	$50.12	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $97.72	Professional		$66.07	$83.18	$97.72