Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.43 / $98.43 / $161.46	Facility		$98.43	$98.43	$161.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $98.43 / $209.10	Professional		$71.52	$98.43	$209.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $83.15 / $94.17	Professional		$75.34	$83.15	$94.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $71.52 / $284.70	Professional		$69.54	$71.52	$284.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $98.43 / $129.00	Facility		$87.63	$98.43	$129.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $73.39 / $132.53	Professional		$73.39	$73.39	$132.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.25 / $88.75 / $109.54	Facility		$83.25	$88.75	$109.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $100.37 / $184.05	Professional		$84.08	$100.37	$184.05
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $73.67	Professional		$71.52	$71.52	$73.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $73.39 / $73.39	Facility		$73.39	$73.39	$73.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $73.39 / $73.39	Professional		$73.39	$73.39	$73.39