Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $273.95 / $417.72	Facility		$61.61	$273.95	$417.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $118.20 / $414.88	Professional		$101.31	$118.20	$414.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $279.39 / $349.25	Professional		$176.76	$279.39	$349.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $230.25 / $444.08	Professional		$150.00	$230.25	$444.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $199.55 / $602.54	Facility		$153.50	$199.55	$602.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $138.15 / $388.20	Professional		$92.10	$138.15	$388.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.36 / $292.22 / $602.54	Facility		$184.36	$292.22	$602.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $281.45 / $391.43	Professional		$184.20	$281.45	$391.43
United Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $334.63	Professional		$92.10	$92.10	$334.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $153.50 / $153.50	Professional		$121.27	$153.50	$153.50