Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.34 / $364.88 / $12,335.33	Facility		$188.34	$364.88	$12,335.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $110.13 / $13,488.75	Professional		$99.13	$110.13	$13,488.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $100.99 / $100.99	Facility		$100.99	$100.99	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $135.47 / $143.77	Professional		$115.01	$135.47	$143.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $127.34 / $606.00	Professional		$99.13	$127.34	$606.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $135.47 / $234.59	Facility		$103.71	$135.47	$234.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $115.45 / $187.96	Professional		$103.71	$115.45	$187.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $201.73 / $301.97	Facility		$124.45	$201.73	$301.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $163.98 / $647.75	Professional		$124.45	$163.98	$647.75
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $117.96	Professional		$99.13	$99.13	$117.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Professional		$103.71	$103.71	$103.71