Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $155.52 / $300.12	Facility		$80.75	$155.52	$300.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $121.67	Professional		$80.91	$80.91	$121.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $82.43 / $82.43	Facility		$82.43	$82.43	$82.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $79.28 / $99.09	Professional		$79.28	$79.28	$99.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $80.91 / $183.17	Professional		$57.02	$80.91	$183.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $87.08 / $148.24	Facility		$80.75	$87.08	$148.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $101.22	Professional		$80.75	$80.75	$101.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.38 / $125.35 / $159.63	Facility		$93.38	$125.35	$159.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $93.38 / $156.41	Professional		$87.08	$93.38	$156.41
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $82.53	Professional		$80.91	$80.91	$82.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $80.75 / $80.75	Facility		$80.75	$80.75	$80.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $80.75	Professional		$80.75	$80.75	$80.75