Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $345.42 / $483.17	Facility		$177.56	$345.42	$483.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $136.72 / $479.89	Professional		$117.19	$136.72	$479.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.02 / $322.48 / $403.10	Professional		$204.02	$322.48	$403.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $266.33 / $584.79	Professional		$150.93	$266.33	$584.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.03 / $229.12 / $681.55	Facility		$175.03	$229.12	$681.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $177.56 / $408.39	Professional		$106.54	$177.56	$408.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.24 / $325.58 / $454.55	Facility		$213.24	$325.58	$454.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $325.58 / $452.78	Professional		$213.07	$325.58	$452.78
United Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $106.54 / $387.08	Professional		$106.54	$106.54	$387.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $177.56 / $177.56	Professional		$140.27	$177.56	$177.56