Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $138.04 / $154.88	Facility		$67.61	$138.04	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $100.00	Professional		$58.88	$70.79	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $194.98	Professional		$123.03	$158.49	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $302.00	Professional		$61.66	$85.11	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $338.84	Facility		$61.66	$91.20	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $524.81	Professional		$83.18	$144.54	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $199.53	Professional		$109.65	$151.36	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $186.21	Professional		$79.43	$104.71	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $120.23	Professional		$89.13	$102.33	$120.23