Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.89 / $87.89 / $183.60	Facility		$87.89	$87.89	$183.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $98.16 / $152.00	Professional		$80.00	$98.16	$152.00
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 $87.15 / $122.70 / $177.67	Professional		$87.15	$122.70	$177.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $79.09 / $171.37	Facility		$53.30	$79.09	$171.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $103.33 / $115.88	Professional		$85.29	$103.33	$115.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $100.19 / $125.24	Facility		$48.74	$100.19	$125.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $95.18 / $100.19	Professional		$46.21	$95.18	$100.19
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $110.92 / $115.83	Professional		$98.16	$110.92	$115.83
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