Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $436.52	Facility		$123.03	$302.00	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $190.55	Professional		$104.71	$125.89	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $380.19	Professional		$229.09	$309.03	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $281.84	Professional		$134.90	$199.53	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $407.38	Facility		$158.49	$190.55	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $346.74	Professional		$95.50	$95.50	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $354.81	Facility		$158.49	$158.49	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $346.74	Professional		$95.50	$95.50	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $158.49	Professional		$125.89	$158.49	$158.49