Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $537.03	Facility		$154.88	$363.08	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $194.98	Professional		$128.82	$154.88	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Professional		$380.19	$380.19	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $363.08	Professional		$151.36	$257.04	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $457.09	Facility		$199.53	$239.88	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $794.33	Professional		$120.23	$199.53	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $457.09	Facility		$199.53	$199.53	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $501.19	Professional		$120.23	$120.23	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53