Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $229.09 / $346.74	Facility		$91.20	$229.09	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $144.54	Professional		$79.43	$95.50	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $158.49	Professional		$125.89	$144.54	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $512.86	Professional		$120.23	$199.53	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $316.23	Facility		$144.54	$169.82	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $316.23	Professional		$72.44	$120.23	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $169.82	Professional		$144.54	$144.54	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $181.97	Facility		$120.23	$120.23	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $295.12	Professional		$72.44	$102.33	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $120.23	Professional		$95.50	$120.23	$120.23