Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $112.26	Professional		$111.15	$111.15	$112.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $398.91 / $472.92	Professional		$327.84	$398.91	$472.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $201.18 / $386.78	Professional		$111.15	$201.18	$386.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $472.92 / $495.80	Facility		$130.26	$472.92	$495.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $130.26 / $472.92	Professional		$130.26	$130.26	$472.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.31 / $414.72 / $545.67	Facility		$156.31	$414.72	$545.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $398.91 / $545.67	Professional		$380.98	$398.91	$545.67
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $141.16	Professional		$111.15	$111.15	$141.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $130.26 / $130.26	Facility		$130.26	$130.26	$130.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $130.26 / $130.26	Professional		$102.91	$130.26	$130.26