Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $139.31	Professional		$137.93	$137.93	$139.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $159.88 / $197.24	Professional		$130.50	$159.88	$197.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $187.95 / $321.30	Professional		$137.93	$187.95	$321.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $153.69 / $302.52	Facility		$51.02	$153.69	$302.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $108.60 / $305.04	Professional		$108.60	$108.60	$305.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $159.88 / $349.07	Facility		$130.32	$159.88	$349.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $192.94 / $349.07	Professional		$153.69	$192.94	$349.07
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $151.72	Professional		$137.93	$137.93	$151.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $108.60	Facility		$108.60	$108.60	$108.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $108.60 / $108.60	Professional		$85.79	$108.60	$108.60