Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $99.82 / $190.82	Facility		$59.50	$99.82	$190.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $87.89 / $186.50	Professional		$61.43	$87.89	$186.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $85.09 / $106.36	Professional		$85.09	$85.09	$106.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $107.98 / $177.67	Professional		$90.22	$107.98	$177.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $87.89 / $165.89	Facility		$79.09	$87.89	$165.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $97.44 / $108.54	Professional		$64.05	$97.44	$108.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $100.19 / $110.37	Facility		$56.01	$100.19	$110.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $92.64 / $125.24	Professional		$37.47	$92.64	$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