Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $177.83	Facility		$151.36	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $512.86	Professional		$144.54	$223.87	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $173.78	Professional		$138.04	$138.04	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $269.15	Professional		$151.36	$269.15	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $204.17	Facility		$102.33	$147.91	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $177.83	Professional		$102.33	$154.88	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Professional		$154.88	$154.88	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $186.21	Professional		$147.91	$165.96	$186.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91