Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $107.18 / $289.98	Facility		$77.55	$107.18	$289.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $124.41 / $287.00	Professional		$77.55	$124.41	$287.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $86.42 / $98.25	Professional		$78.59	$86.42	$98.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $113.58 / $186.66	Professional		$82.58	$113.58	$186.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $98.91 / $118.82	Facility		$77.55	$98.91	$118.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $82.42 / $143.53	Professional		$82.42	$82.42	$143.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $98.91 / $112.81	Facility		$92.59	$98.91	$112.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $98.91 / $166.05	Professional		$92.59	$98.91	$166.05
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $85.06	Professional		$82.58	$82.58	$85.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $82.42 / $82.42	Facility		$82.42	$82.42	$82.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $82.42 / $82.42	Professional		$82.42	$82.42	$82.42