Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $102.33 / $128.82	Facility		$50.12	$102.33	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $77.62	Professional		$40.74	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $147.91	Professional		$85.11	$117.49	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $162.18	Professional		$40.74	$63.10	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $223.87	Facility		$45.71	$77.62	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $389.05	Professional		$66.07	$97.72	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $144.54	Professional		$66.07	$100.00	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $316.23	Facility		$147.91	$257.04	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $128.82	Professional		$54.95	$74.13	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $91.20	Professional		$58.88	$70.79	$91.20