Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $87.88 / $237.26	Facility		$55.30	$87.88	$237.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $98.16 / $155.97	Professional		$65.20	$98.16	$155.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $106.31	Professional		$85.05	$85.05	$106.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $122.70 / $177.67	Professional		$85.60	$122.70	$177.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $87.88 / $171.37	Facility		$79.09	$87.88	$171.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $85.10 / $122.28	Professional		$73.36	$85.10	$122.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $100.19 / $125.24	Facility		$44.86	$100.19	$125.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $95.18 / $125.24	Professional		$45.38	$95.18	$125.24
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $97.44 / $103.33	Professional		$86.23	$97.44	$103.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16