Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $281.84	Facility		$190.55	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $794.33	Professional		$218.78	$281.84	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $281.84	Professional		$223.87	$223.87	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $331.13	Professional		$151.36	$295.12	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $281.84 / $407.38	Facility		$251.19	$281.84	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $281.84	Professional		$234.42	$269.15	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $302.00	Professional		$234.42	$269.15	$302.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42