Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $126.80 / $150.53	Facility		$120.62	$126.80	$150.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $81.73 / $103.16	Professional		$69.17	$81.73	$103.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $183.74 / $232.43	Professional		$124.82	$183.74	$232.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $109.78 / $224.90	Professional		$73.23	$109.78	$224.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $137.59 / $220.85	Facility		$75.93	$137.59	$220.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $162.47 / $534.72	Professional		$110.47	$162.47	$534.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $163.56 / $220.85	Facility		$122.76	$163.56	$220.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $166.86 / $240.57	Professional		$124.82	$166.86	$240.57
United Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $129.31 / $223.31	Professional		$97.48	$129.31	$223.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $119.70 / $145.30	Professional		$101.80	$119.70	$145.30