Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $130.19 / $870.18	Facility		$122.50	$130.19	$870.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $246.23 / $246.23	Professional		$115.06	$246.23	$246.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.02 / $152.46 / $156.90	Facility		$148.02	$152.46	$156.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $103.29 / $122.45	Professional		$90.90	$103.29	$122.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $193.66 / $235.50	Professional		$150.00	$193.66	$235.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $187.95 / $440.09	Facility		$105.62	$187.95	$440.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $103.29 / $103.29	Professional		$86.45	$103.29	$103.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $152.46 / $156.90	Facility		$103.29	$152.46	$156.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $103.29 / $103.29	Professional		$86.45	$103.29	$103.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $86.00 / $86.00	Professional		$67.94	$86.00	$86.00