Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $71.23 / $335.85	Professional		$47.83	$71.23	$335.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $128.24 / $147.41	Professional		$102.59	$128.24	$147.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $78.62 / $359.30	Professional		$50.32	$78.62	$359.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $144.12 / $2,126.00	Facility		$74.50	$144.12	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $127.34 / $219.89	Professional		$69.04	$127.34	$219.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $124.17 / $147.41	Facility		$89.14	$124.17	$147.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $124.17 / $150.19	Professional		$80.31	$124.17	$150.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $110.09 / $163.38	Professional		$66.16	$110.09	$163.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $108.10 / $127.20	Professional		$85.40	$108.10	$127.20