Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $289.79 / $405.35	Facility		$160.58	$289.79	$405.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $114.70 / $114.70	Professional		$98.31	$114.70	$114.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.39 / $361.00 / $451.25	Professional		$228.39	$361.00	$451.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $268.30 / $761.35	Professional		$168.93	$268.30	$761.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.64 / $238.49 / $457.10	Facility		$176.64	$238.49	$457.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $148.96 / $651.17	Professional		$89.38	$148.96	$651.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $306.86 / $467.23	Facility		$192.22	$306.86	$467.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $315.11 / $379.85	Professional		$192.22	$315.11	$379.85
United Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $89.38 / $360.83	Professional		$89.38	$89.38	$360.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $198.74 / $198.74	Professional		$198.74	$198.74	$198.74