Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.30 / $296.69 / $533.28	Facility		$135.30	$296.69	$533.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $96.64 / $339.21	Professional		$82.83	$96.64	$339.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $227.83 / $284.77	Professional		$144.13	$227.83	$284.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $219.63 / $373.86	Professional		$125.50	$219.63	$373.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $210.41 / $596.13	Facility		$125.50	$210.41	$596.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $129.27 / $343.61	Professional		$75.30	$129.27	$343.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $255.68 / $393.44	Facility		$132.26	$255.68	$393.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $255.68 / $359.54	Professional		$150.60	$255.68	$359.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $105.20 / $303.98	Professional		$75.30	$105.20	$303.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $125.50 / $125.50	Professional		$99.15	$125.50	$125.50