Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $192.00 / $227.54	Facility		$153.19	$192.00	$227.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $192.00	Professional		$102.94	$102.94	$192.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $132.82 / $140.94	Professional		$112.76	$132.82	$140.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $150.00 / $330.07	Professional		$102.94	$150.00	$330.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $121.78 / $192.00	Facility		$101.49	$121.78	$192.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $132.82	Professional		$101.49	$101.49	$132.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.78 / $170.45 / $265.43	Facility		$121.78	$170.45	$265.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $130.03 / $169.42	Professional		$121.78	$130.03	$169.42
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $106.03	Professional		$102.94	$102.94	$106.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Facility		$101.49	$101.49	$101.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Professional		$101.49	$101.49	$101.49