Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $323.59 / $758.58	Facility		$104.71	$323.59	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $208.93	Professional		$89.13	$120.23	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $323.59	Professional		$165.96	$263.03	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $245.47	Professional		$134.90	$186.21	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $380.19	Facility		$134.90	$173.78	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $346.74	Professional		$58.88	$134.90	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $173.78	Professional		$162.18	$165.96	$173.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $302.00	Facility		$134.90	$134.90	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $309.03	Professional		$58.88	$81.28	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $134.90	Professional		$107.15	$134.90	$134.90