Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $83.18	Facility		$67.61	$67.61	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $158.49	Professional		$67.61	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $95.50	Professional		$75.86	$81.28	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $245.47	Professional		$14.45	$22.39	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $162.18 / $229.09	Facility		$67.61	$162.18	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $194.98	Professional		$83.18	$131.83	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $239.88 / $239.88	Professional		$91.20	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $131.83	Professional		$83.18	$95.50	$131.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18