Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $120.45 / $244.39	Facility		$120.45	$120.45	$244.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $134.19 / $312.02	Professional		$120.45	$134.19	$312.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $145.91 / $182.39	Professional		$145.91	$145.91	$182.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $175.02 / $447.15	Professional		$115.71	$175.02	$447.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $149.79 / $202.66	Facility		$120.45	$149.79	$202.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $154.18 / $219.47	Professional		$130.66	$154.18	$219.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $219.47 / $343.83	Facility		$156.80	$219.47	$343.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $162.00 / $260.98	Professional		$129.88	$162.00	$260.98
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $151.63 / $195.02	Professional		$134.19	$151.63	$195.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Facility		$130.66	$130.66	$130.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Professional		$130.66	$130.66	$130.66