Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $182.86 / $182.86	Facility		$174.26	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $182.86 / $182.86	Professional		$118.41	$182.86	$182.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.56 / $6.67	Professional		$5.25	$6.56	$6.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $193.02 / $204.45	Professional		$170.32	$193.02	$204.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $182.86 / $310.86	Facility		$90.00	$182.86	$310.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $53.56 / $133.22	Professional		$24.81	$53.56	$133.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $53.56 / $152.21	Facility		$53.56	$53.56	$152.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $138.22 / $148.11	Professional		$53.56	$138.22	$148.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $64.11 / $64.11	Professional		$64.11	$64.11	$64.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Facility		$44.60	$44.60	$44.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.60 / $44.60	Professional		$35.22	$44.60	$44.60