Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $251.19	Facility		$66.07	$177.83	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $102.33	Professional		$56.23	$72.44	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $275.42	Professional		$165.96	$218.78	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $208.93	Professional		$97.72	$147.91	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $269.15	Facility		$109.65	$138.04	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $218.78	Professional		$51.29	$60.26	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $251.19	Facility		$114.82	$114.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $208.93	Professional		$51.29	$57.54	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $114.82	Professional		$91.20	$114.82	$114.82