Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $113.79 / $113.79	Facility		$93.41	$113.79	$113.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $121.60 / $342.51	Professional		$93.00	$121.60	$342.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $92.63 / $115.78	Professional		$92.63	$92.63	$115.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $53.38 / $129.44	Professional		$31.95	$53.38	$129.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $109.88 / $120.29	Facility		$66.00	$109.88	$120.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $107.58 / $113.79	Professional		$74.26	$107.58	$113.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $73.70 / $109.88	Facility		$66.00	$73.70	$109.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $74.26 / $101.33	Professional		$53.66	$74.26	$101.33
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $109.16 / $115.46	Professional		$96.60	$109.16	$115.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.20 / $95.20 / $95.20	Facility		$95.20	$95.20	$95.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $95.20 / $95.20	Professional		$95.20	$95.20	$95.20