Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $562.34	Facility		$102.33	$102.33	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $158.49	Professional		$87.10	$114.82	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $245.47	Professional		$107.15	$134.90	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $275.42	Professional		$79.43	$114.82	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $758.58	Facility		$102.33	$165.96	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $478.63	Professional		$102.33	$158.49	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $257.04	Professional		$169.82	$208.93	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $177.83	Professional		$147.91	$147.91	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $229.09	Professional		$100.00	$141.25	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $141.25	Professional		$120.23	$120.23	$141.25