Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $338.20 / $515.67	Facility		$189.51	$338.20	$515.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $145.91 / $512.17	Professional		$125.08	$145.91	$512.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.65 / $344.03 / $430.03	Professional		$217.65	$344.03	$430.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $236.89 / $331.64	Professional		$129.13	$236.89	$331.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $227.41 / $418.82	Facility		$80.91	$227.41	$418.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $113.71 / $390.39	Professional		$43.83	$113.71	$390.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $246.36 / $415.33	Facility		$64.04	$246.36	$415.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $244.55 / $415.33	Professional		$89.66	$244.55	$415.33
United Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $113.71 / $235.74	Professional		$45.80	$113.71	$235.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $189.51 / $189.51	Professional		$149.71	$189.51	$189.51