Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $86.23 / $109.70	Facility		$86.23	$86.23	$109.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $92.27 / $249.74	Professional		$71.61	$92.27	$249.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $74.17 / $91.92	Professional		$73.54	$74.17	$91.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $92.24 / $133.56	Professional		$73.79	$92.24	$133.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $86.59 / $122.17	Facility		$63.00	$86.59	$122.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $94.63 / $107.41	Professional		$71.58	$94.63	$107.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $86.59 / $97.58	Facility		$59.91	$86.59	$97.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $84.28 / $112.11	Professional		$61.08	$84.28	$112.11
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $95.98 / $100.23	Professional		$84.94	$95.98	$100.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $72.68 / $72.68	Facility		$72.68	$72.68	$72.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $72.68 / $72.68	Professional		$72.68	$72.68	$72.68