Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $208.93	Facility		$120.23	$120.23	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $234.42	Professional		$120.23	$138.04	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $173.78	Professional		$141.25	$141.25	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $457.09	Professional		$114.82	$173.78	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $218.78	Facility		$120.23	$131.83	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $218.78	Professional		$131.83	$158.49	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $190.55	Professional		$154.88	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $199.53	Professional		$138.04	$154.88	$199.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90