Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $88.89 / $93.80	Facility		$77.89	$88.89	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $79.48 / $95.87	Professional		$66.90	$79.48	$95.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $171.05 / $213.82	Professional		$72.77	$171.05	$213.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $104.55 / $294.22	Professional		$77.81	$104.55	$294.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $179.47 / $383.01	Facility		$75.31	$179.47	$383.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $170.10 / $233.20	Professional		$105.45	$170.10	$233.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $168.26 / $240.57	Facility		$122.76	$168.26	$240.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $177.34 / $240.57	Professional		$137.86	$177.34	$240.57
United Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $146.22 / $233.20	Professional		$95.41	$146.22	$233.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $119.70 / $145.30	Professional		$114.79	$119.70	$145.30