Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $363.08 / $524.81	Facility		$144.54	$363.08	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $269.15	Professional		$125.89	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $457.09	Professional		$229.09	$363.08	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $346.74	Professional		$138.04	$234.42	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $229.09 / $416.87	Facility		$89.13	$229.09	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $114.82 / $380.19	Professional		$43.65	$114.82	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $229.09 / $245.47	Professional		$64.57	$229.09	$245.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $416.87	Facility		$190.55	$190.55	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $114.82 / $229.09	Professional		$43.65	$114.82	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $190.55	Professional		$151.36	$190.55	$190.55