Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $91.02 / $121.36	Facility		$54.50	$91.02	$121.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $63.22 / $81.04	Professional		$54.15	$63.22	$81.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $144.80 / $181.00	Professional		$144.80	$144.80	$181.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $92.06 / $192.71	Professional		$75.02	$92.06	$192.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $131.72 / $367.85	Facility		$65.51	$131.72	$367.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $94.04 / $163.68	Professional		$73.52	$94.04	$163.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $134.74 / $162.36	Facility		$110.03	$134.74	$162.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $117.90 / $186.01	Professional		$84.00	$117.90	$186.01
United Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $81.06 / $163.68	Professional		$66.97	$81.06	$163.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $115.00 / $115.00	Professional		$97.80	$115.00	$115.00