Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $223.87	Facility		$112.20	$141.25	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $141.25	Professional		$112.20	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $144.54	Professional		$117.49	$117.49	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $213.80	Professional		$151.36	$213.80	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $138.04 / $186.21	Facility		$1.00	$138.04	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $123.03	Professional		$100.00	$117.49	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $123.03	Professional		$114.82	$120.23	$123.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49