Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $185.50 / $292.08	Facility		$185.50	$185.50	$292.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $185.50 / $365.83	Professional		$162.97	$185.50	$365.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $159.94 / $199.92	Professional		$159.94	$159.94	$199.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $208.88 / $387.21	Professional		$162.97	$208.88	$387.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $190.80 / $337.08	Facility		$172.00	$190.80	$337.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $184.46 / $224.93	Professional		$163.24	$184.46	$224.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $187.39 / $224.93	Facility		$160.00	$187.39	$224.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $172.65 / $275.63	Professional		$144.59	$172.65	$275.63
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $184.17 / $218.36	Professional		$162.97	$184.17	$218.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Professional		$156.16	$156.16	$156.16