Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.03 / $416.47 / $5,549.00	Facility		$383.03	$416.47	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $100.78 / $130.60	Professional		$97.06	$100.78	$130.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $150.53 / $368.27	Professional		$69.00	$150.53	$368.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $304.94 / $395.29	Professional		$50.72	$304.94	$395.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.06 / $149.47 / $461.73	Facility		$97.06	$149.47	$461.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $336.51 / $778.48	Professional		$121.62	$336.51	$778.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $165.53 / $285.58	Facility		$117.23	$165.53	$285.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $165.53 / $285.58	Professional		$117.23	$165.53	$285.58
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $311.23 / $525.20	Professional		$121.62	$311.23	$525.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Professional		$225.30	$225.30	$225.30