Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $321.52 / $413.00	Facility		$257.20	$321.52	$413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $90.98 / $251.20	Professional		$90.98	$90.98	$251.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $238.36 / $245.31	Facility		$231.42	$238.36	$245.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $167.12 / $208.90	Professional		$141.62	$167.12	$208.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $225.74 / $274.50	Professional		$150.00	$225.74	$274.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $160.59 / $187.95	Facility		$90.98	$160.59	$187.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $135.13 / $160.93	Professional		$135.13	$135.13	$160.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.93 / $238.36 / $245.31	Facility		$160.93	$238.36	$245.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $160.93 / $160.93	Professional		$135.13	$160.93	$160.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $134.00 / $134.00	Professional		$105.86	$134.00	$134.00