Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $118.78 / $126.38	Facility		$118.78	$118.78	$126.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $92.40 / $126.38	Professional		$81.34	$92.40	$126.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $178.87 / $232.05	Professional		$127.03	$178.87	$232.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $113.15 / $157.54	Professional		$79.72	$113.15	$157.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.60 / $174.01 / $387.55	Facility		$86.60	$174.01	$387.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $187.83 / $541.15	Professional		$117.75	$187.83	$541.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $200.65 / $224.82	Facility		$172.88	$200.65	$224.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $189.04 / $234.06	Professional		$140.99	$189.04	$234.06
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $153.97 / $243.46	Professional		$101.19	$153.97	$243.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $154.30 / $170.90	Professional		$145.19	$154.30	$170.90