Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.68 / $132.38 / $199.89	Facility		$69.68	$132.38	$199.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $100.17 / $410.00	Professional		$69.68	$100.17	$410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.67 / $230.31 / $287.88	Professional		$167.67	$230.31	$287.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $132.05 / $263.42	Professional		$101.31	$132.05	$263.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.68 / $151.13 / $289.44	Facility		$69.68	$151.13	$289.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $177.71 / $296.79	Professional		$110.22	$177.71	$296.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $205.26 / $273.91	Facility		$134.00	$205.26	$273.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $199.26 / $273.91	Professional		$134.00	$199.26	$273.91
United Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $139.90 / $231.42	Professional		$96.18	$139.90	$231.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $220.30	Professional		$187.20	$187.20	$220.30