Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $80.98 / $100.82	Facility		$76.20	$80.98	$100.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $54.29 / $68.81	Professional		$44.11	$54.29	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $118.64 / $155.46	Professional		$79.61	$118.64	$155.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $74.95 / $148.34	Professional		$45.97	$74.95	$148.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $77.58 / $140.80	Facility		$45.97	$77.58	$140.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $108.57 / $343.02	Professional		$73.63	$108.57	$343.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $107.45 / $147.72	Facility		$77.15	$107.45	$147.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $108.57 / $153.53	Professional		$79.68	$108.57	$153.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $81.54 / $147.94	Professional		$63.59	$81.54	$147.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $75.30 / $96.60	Professional		$64.00	$75.30	$96.60