Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $311.16 / $435.25	Facility		$159.94	$311.16	$435.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Professional		$105.57	$105.57	$105.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $290.50 / $363.12	Professional		$183.79	$290.50	$363.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $207.94 / $279.91	Professional		$135.96	$207.94	$279.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $206.74 / $427.07	Facility		$159.94	$206.74	$427.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $95.97 / $367.89	Professional		$95.97	$95.97	$367.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $279.91 / $350.55	Facility		$191.94	$279.91	$350.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $279.91 / $350.55	Professional		$191.94	$279.91	$350.55
United Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $95.97 / $348.69	Professional		$95.97	$95.97	$348.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $159.94 / $159.94	Professional		$126.36	$159.94	$159.94