Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.99 / $350.84 / $630.64	Facility		$159.99	$350.84	$630.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $114.28 / $401.12	Professional		$97.95	$114.28	$401.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $269.61 / $337.01	Professional		$170.57	$269.61	$337.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $259.72 / $455.96	Professional		$148.41	$259.72	$455.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $248.88 / $704.95	Facility		$148.41	$248.88	$704.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $152.86 / $406.78	Professional		$89.05	$152.86	$406.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $302.36 / $465.27	Facility		$177.63	$302.36	$465.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $302.36 / $425.19	Professional		$178.09	$302.36	$425.19
United Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $341.34	Facility		$148.41	$148.41	$341.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $124.44 / $359.48	Professional		$89.05	$124.44	$359.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $148.41 / $148.41	Professional		$117.24	$148.41	$148.41