Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $106.80 / $120.53	Facility		$106.80	$106.80	$120.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $69.27 / $85.74	Professional		$61.78	$69.27	$85.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $154.53 / $195.48	Professional		$109.70	$154.53	$195.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $90.81 / $238.86	Professional		$64.42	$90.81	$238.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $98.91 / $200.55	Facility		$64.36	$98.91	$200.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $136.65 / $475.79	Professional		$87.53	$136.65	$475.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $140.52 / $169.42	Facility		$108.69	$140.52	$169.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $151.25 / $210.12	Professional		$112.76	$151.25	$210.12
United Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $109.49 / $217.88	Professional		$83.55	$109.49	$217.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $106.00 / $120.20	Professional		$90.10	$106.00	$120.20