Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $154.88	Facility		$75.86	$87.10	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $251.19	Professional		$70.79	$91.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $151.36	Professional		$70.79	$100.00	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $162.18	Facility		$74.13	$83.18	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $104.71	Professional		$70.79	$83.18	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $91.20	Professional		$85.11	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $190.55	Facility		$81.28	$81.28	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $89.13	Professional		$72.44	$81.28	$89.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79