Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $59.81 / $71.28	Facility		$52.77	$59.81	$71.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $69.54 / $87.20	Professional		$52.77	$69.54	$87.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $136.88 / $171.11	Professional		$66.29	$136.88	$171.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $109.56 / $361.45	Professional		$70.67	$109.56	$361.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $167.70 / $346.65	Facility		$67.95	$167.70	$346.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $129.94 / $188.64	Professional		$85.30	$129.94	$188.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.11 / $146.12 / $160.09	Facility		$111.11	$146.12	$160.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $146.12 / $207.16	Professional		$97.00	$146.12	$207.16
United Facility/Professional Facility Modifier Low / Median / High Price $86.74 / $86.74 / $86.74	Facility		$86.74	$86.74	$86.74
United Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $97.49 / $188.64	Professional		$77.18	$97.49	$188.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $108.40 / $108.40	Professional		$85.64	$108.40	$108.40