Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $144.00 / $191.22	Facility		$92.54	$144.00	$191.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $83.25 / $129.25	Professional		$56.10	$83.25	$129.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $247.62 / $309.52	Professional		$130.52	$247.62	$309.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $133.05 / $236.66	Professional		$74.36	$133.05	$236.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $123.37 / $407.21	Facility		$75.88	$123.37	$407.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $141.29 / $569.78	Professional		$90.48	$141.29	$569.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $172.31 / $250.13	Facility		$100.34	$172.31	$250.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $168.14 / $247.41	Professional		$99.86	$168.14	$247.41
United Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $112.63 / $190.30	Professional		$84.82	$112.63	$190.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $129.32 / $192.60	Professional		$108.20	$129.32	$192.60