Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $117.42 / $220.97	Facility		$117.42	$117.42	$220.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $117.42 / $256.33	Professional		$99.97	$117.42	$256.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $101.85 / $101.85	Facility		$101.85	$101.85	$101.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $106.48 / $126.14	Professional		$100.91	$106.48	$126.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $150.00 / $221.91	Professional		$99.97	$150.00	$221.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $117.42 / $152.52	Facility		$99.82	$117.42	$152.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $148.25	Professional		$99.82	$99.82	$148.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $148.25 / $232.25	Facility		$118.60	$148.25	$232.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $119.78 / $250.78	Professional		$112.67	$119.78	$250.78
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $102.97	Professional		$99.97	$99.97	$102.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Professional		$99.82	$99.82	$99.82