Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $127.18 / $127.18	Facility		$127.18	$127.18	$127.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $58.78 / $524.64	Professional		$58.78	$58.78	$524.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.19 / $243.28 / $250.36	Facility		$236.19	$243.28	$250.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $155.91 / $194.89	Professional		$140.91	$155.91	$194.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $106.34 / $200.22	Professional		$56.78	$106.34	$200.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $141.00 / $236.66	Facility		$127.18	$141.00	$236.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $116.39 / $261.70	Professional		$71.36	$116.39	$261.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.51 / $173.64 / $250.36	Facility		$132.51	$173.64	$250.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $151.54 / $215.72	Professional		$127.23	$151.54	$215.72
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $78.50 / $148.35	Professional		$71.36	$78.50	$148.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $113.00 / $133.00	Professional		$89.27	$113.00	$133.00