Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $426.58	Facility		$114.82	$281.84	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $295.12	Professional		$97.72	$128.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $354.81	Professional		$177.83	$281.84	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $512.86	Professional		$147.91	$269.15	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $467.74	Facility		$147.91	$194.98	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $389.05	Professional		$89.13	$177.83	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $190.55	Professional		$177.83	$177.83	$190.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $331.13	Facility		$147.91	$147.91	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $363.08	Professional		$89.13	$123.03	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $147.91	Professional		$117.49	$147.91	$147.91