Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $103.42 / $225.00	Facility		$60.00	$103.42	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $118.38 / $159.10	Professional		$93.40	$118.38	$159.10
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 $108.21 / $135.26 / $246.17	Professional		$108.21	$135.26	$246.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $114.79 / $201.65	Professional		$79.51	$114.79	$201.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.42 / $168.14 / $755.40	Facility		$103.42	$168.14	$755.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $153.41 / $443.52	Professional		$112.00	$153.41	$443.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $207.87 / $322.81	Facility		$165.00	$207.87	$322.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $217.52 / $360.98	Professional		$155.86	$217.52	$360.98
United Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $146.03 / $227.10	Professional		$112.00	$146.03	$227.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $120.80 / $142.10	Professional		$120.80	$120.80	$142.10