Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $118.43 / $118.43	Facility		$100.67	$118.43	$118.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $136.80 / $345.00	Professional		$97.75	$136.80	$345.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $98.49 / $120.00	Professional		$96.00	$98.49	$120.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $20.21 / $150.00	Professional		$12.97	$20.21	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $118.43 / $149.72	Facility		$102.08	$118.43	$149.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $111.67 / $145.29	Professional		$98.82	$111.67	$145.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $111.53 / $153.77	Facility		$95.00	$111.53	$153.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $111.53 / $145.29	Professional		$80.50	$111.53	$145.29
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $116.10 / $123.14	Professional		$102.74	$116.10	$123.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $98.82 / $98.82	Facility		$98.82	$98.82	$98.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $98.82 / $98.82	Professional		$98.82	$98.82	$98.82