Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $285.36 / $512.95	Facility		$130.13	$285.36	$512.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $92.95 / $92.95	Professional		$92.95	$92.95	$92.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $144.86 / $157.50	Professional		$126.00	$144.86	$157.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $175.04 / $517.21	Professional		$120.72	$175.04	$517.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.86 / $176.75 / $313.87	Facility		$144.86	$176.75	$313.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $120.72 / $315.08	Professional		$72.43	$120.72	$315.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.99 / $171.35 / $313.87	Facility		$144.99	$171.35	$313.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $198.43 / $315.08	Professional		$144.99	$198.43	$315.08
United Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $80.48 / $277.66	Professional		$72.43	$80.48	$277.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $120.72 / $120.72	Professional		$95.37	$120.72	$120.72