Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $251.59 / $356.95	Facility		$139.41	$251.59	$356.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $99.58 / $349.53	Professional		$85.36	$99.58	$349.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $235.01 / $293.76	Professional		$148.68	$235.01	$293.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $192.60 / $307.63	Professional		$129.33	$192.60	$307.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $155.33 / $378.38	Facility		$113.35	$155.33	$378.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $123.03 / $297.45	Professional		$65.34	$123.03	$297.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $215.03 / $283.44	Facility		$98.47	$215.03	$283.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $198.00 / $283.44	Professional		$129.33	$198.00	$283.44
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $77.59 / $281.94	Professional		$65.34	$77.59	$281.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $129.33 / $129.33	Professional		$102.17	$129.33	$129.33