Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $256.70 / $256.70	Facility		$89.68	$256.70	$256.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $103.97 / $135.11	Professional		$92.03	$103.97	$135.11
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 $118.49 / $154.07 / $225.11	Professional		$118.49	$154.07	$225.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $108.92 / $166.65	Professional		$81.69	$108.92	$166.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.54 / $155.38 / $370.20	Facility		$94.54	$155.38	$370.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $185.09 / $344.01	Professional		$100.45	$185.09	$344.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $205.39 / $247.45	Facility		$130.00	$205.39	$247.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $204.25 / $255.54	Professional		$118.00	$204.25	$255.54
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $160.34 / $265.22	Professional		$95.20	$160.34	$265.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $157.80 / $185.60	Professional		$157.80	$157.80	$185.60