Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $109.65 / $147.91	Facility		$52.48	$109.65	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $107.15	Professional		$54.95	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $181.97	Professional		$144.54	$144.54	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $204.17	Professional		$74.13	$120.23	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $158.49 / $363.08	Facility		$64.57	$158.49	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $190.55	Professional		$83.18	$120.23	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $158.49	Professional		$117.49	$151.36	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $204.17	Professional		$83.18	$104.71	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82