Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.61 / $183.08 / $342.95	Facility		$136.61	$183.08	$342.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $80.70 / $80.70	Professional		$80.70	$80.70	$80.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $180.35 / $180.35	Professional		$144.28	$180.35	$180.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $123.63 / $306.50	Professional		$51.94	$123.63	$306.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $207.97 / $1,407.77	Facility		$156.00	$207.97	$1,407.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $166.40 / $582.35	Professional		$94.84	$166.40	$582.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $164.54 / $300.02	Facility		$52.95	$164.54	$300.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $187.30 / $303.69	Professional		$147.55	$187.30	$303.69
United Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $113.94 / $258.17	Professional		$94.84	$113.94	$258.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $112.80 / $132.69	Professional		$89.11	$112.80	$132.69