Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.51 / $314.93 / $440.51	Facility		$174.51	$314.93	$440.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $124.65 / $437.52	Professional		$106.84	$124.65	$437.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.85 / $293.76 / $367.20	Professional		$185.85	$293.76	$367.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $189.99 / $283.29	Professional		$127.29	$189.99	$283.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $194.26 / $381.48	Facility		$109.13	$194.26	$381.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $131.99 / $354.77	Professional		$60.38	$131.99	$354.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.61 / $210.44 / $354.77	Facility		$94.61	$210.44	$354.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $208.90 / $354.77	Professional		$112.60	$208.90	$354.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $97.13 / $201.25	Professional		$63.11	$97.13	$201.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $161.88 / $161.88	Professional		$127.89	$161.88	$161.88