Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $92.45	Professional		$91.54	$91.54	$92.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $82.27 / $89.76	Professional		$69.86	$82.27	$89.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $137.31 / $165.69	Professional		$87.64	$137.31	$165.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $91.35 / $167.36	Facility		$67.72	$91.35	$167.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $67.72 / $135.44	Professional		$67.72	$67.72	$135.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $82.27 / $103.57	Facility		$78.70	$82.27	$103.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $82.27 / $103.57	Professional		$76.12	$82.27	$103.57
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $119.09	Professional		$91.54	$91.54	$119.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $67.72	Facility		$67.72	$67.72	$67.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $67.72 / $67.72	Professional		$53.50	$67.72	$67.72