Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $645.65	Facility		$97.72	$97.72	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $323.59	Professional		$93.33	$158.49	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $181.97	Professional		$75.86	$95.50	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $134.90	Facility		$52.48	$93.33	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $138.04	Professional		$67.61	$93.33	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $120.23	Professional		$104.71	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $97.72	Professional		$91.20	$93.33	$97.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50