Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.44 / $321.14 / $649.42	Facility		$146.44	$321.14	$649.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $120.00 / $873.58	Professional		$89.67	$120.00	$873.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $246.76 / $308.45	Professional		$156.11	$246.76	$308.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $186.26 / $245.91	Professional		$135.86	$186.26	$245.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $193.27 / $418.18	Facility		$135.86	$193.27	$418.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $135.86 / $343.59	Professional		$58.38	$135.86	$343.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $227.98 / $418.18	Facility		$163.16	$227.98	$418.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $248.98 / $371.69	Professional		$163.03	$248.98	$371.69
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $81.52 / $312.48	Professional		$58.38	$81.52	$312.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $135.86 / $135.86	Professional		$107.33	$135.86	$135.86