Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $204.21 / $311.38	Facility		$114.43	$204.21	$311.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $99.55 / $111.00	Professional		$75.52	$99.55	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $208.24 / $260.30	Professional		$137.32	$208.24	$260.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $154.47 / $584.86	Professional		$125.87	$154.47	$584.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $147.66 / $263.19	Facility		$108.71	$147.66	$263.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $114.43 / $449.18	Professional		$68.66	$114.43	$449.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $181.69 / $235.73	Facility		$137.32	$181.69	$235.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $217.84 / $291.80	Professional		$137.32	$217.84	$291.80
United Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $68.66 / $234.30	Professional		$68.66	$68.66	$234.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43