Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $250.43 / $547.02	Facility		$138.77	$250.43	$547.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $112.00 / $124.87	Professional		$84.96	$112.00	$124.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $233.70 / $292.13	Professional		$154.60	$233.70	$292.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $225.28 / $634.04	Professional		$128.72	$225.28	$634.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $197.39 / $357.65	Facility		$128.72	$197.39	$357.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $132.59 / $681.57	Professional		$77.23	$132.59	$681.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $262.26 / $367.85	Facility		$154.47	$262.26	$367.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $262.26 / $368.80	Professional		$154.60	$262.26	$368.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $311.81	Professional		$77.23	$77.23	$311.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Professional		$128.72	$128.72	$128.72