Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $88.86	Professional		$87.98	$87.98	$88.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $120.89 / $180.81	Professional		$96.71	$120.89	$180.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $135.36 / $207.49	Professional		$87.98	$135.36	$207.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $123.69 / $202.25	Facility		$80.48	$123.69	$202.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $202.25	Professional		$80.48	$80.48	$202.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $113.91 / $202.25	Facility		$96.58	$113.91	$202.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $123.69 / $180.81	Professional		$108.47	$123.69	$180.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $95.02	Professional		$87.98	$87.98	$95.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $80.48 / $80.48	Professional		$63.58	$80.48	$80.48