Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $106.59 / $125.39	Facility		$93.69	$106.59	$125.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $59.69 / $76.06	Professional		$48.95	$59.69	$76.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $132.63 / $165.79	Professional		$132.63	$132.63	$165.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $94.76 / $157.99	Professional		$68.23	$94.76	$157.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $121.06 / $336.07	Facility		$59.93	$121.06	$336.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $93.59 / $154.02	Professional		$69.45	$93.59	$154.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $128.29 / $147.94	Facility		$103.26	$128.29	$147.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $128.29 / $172.53	Professional		$83.13	$128.29	$172.53
United Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $79.59 / $154.02	Professional		$65.00	$79.59	$154.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $105.10 / $105.10	Professional		$89.30	$105.10	$105.10