Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $158.49 / $229.09	Facility		$64.57	$158.49	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $64.57 / $83.18	Professional		$7.08	$64.57	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $199.53	Professional		$120.23	$162.18	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $151.36	Professional		$70.79	$109.65	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $223.87	Facility		$83.18	$100.00	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $190.55	Professional		$50.12	$50.12	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $186.21	Facility		$83.18	$83.18	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $181.97	Professional		$50.12	$50.12	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $83.18	Professional		$66.07	$83.18	$83.18