Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.76 / $136.60 / $230.99	Facility		$108.76	$136.60	$230.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $77.86	Professional		$61.80	$61.80	$77.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $102.68 / $108.98	Professional		$87.19	$102.68	$108.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $111.86 / $741.30	Professional		$61.80	$111.86	$741.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $102.68 / $319.91	Facility		$62.15	$102.68	$319.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $62.15 / $112.23	Professional		$62.15	$62.15	$112.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $272.41 / $407.77	Facility		$74.58	$272.41	$407.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $192.89 / $319.91	Professional		$74.58	$192.89	$319.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $63.65	Professional		$61.80	$61.80	$63.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $62.15	Facility		$62.15	$62.15	$62.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $62.15 / $62.15	Professional		$62.15	$62.15	$62.15