Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $331.13 / $416.87	Facility		$89.13	$331.13	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $302.00	Professional		$89.13	$117.49	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $239.88 / $245.47	Facility		$229.09	$239.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Professional		$177.83	$177.83	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $275.42	Professional		$151.36	$223.87	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $186.21	Facility		$83.18	$131.83	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Professional		$134.90	$134.90	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $162.18	Facility		$67.61	$120.23	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $134.90	Professional		$104.71	$134.90	$134.90