Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $193.56 / $294.08	Facility		$88.27	$193.56	$294.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $63.05 / $221.31	Professional		$54.04	$63.05	$221.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $148.84 / $186.05	Professional		$94.16	$148.84	$186.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $122.82 / $310.70	Professional		$81.88	$122.82	$310.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $106.44 / $333.09	Facility		$81.88	$106.44	$333.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $81.88 / $199.35	Professional		$49.13	$81.88	$199.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.76 / $150.13 / $198.18	Facility		$84.76	$150.13	$198.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $150.13 / $208.79	Professional		$98.26	$150.13	$208.79
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $57.08 / $188.32	Professional		$49.13	$57.08	$188.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $81.88 / $81.88	Professional		$64.69	$81.88	$81.88