Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $175.88 / $230.04	Facility		$140.77	$175.88	$230.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $175.88 / $393.84	Professional		$111.79	$175.88	$393.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $133.13 / $166.41	Professional		$133.13	$133.13	$166.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.23 / $135.16	Professional		$12.97	$22.23	$135.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $134.46 / $175.88	Facility		$78.00	$134.46	$175.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $173.91 / $184.67	Professional		$90.77	$173.91	$184.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.01 / $111.53 / $152.66	Facility		$75.01	$111.53	$152.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $111.66 / $172.55	Professional		$75.01	$111.66	$172.55
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $173.91 / $181.60	Professional		$149.63	$173.91	$181.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.32 / $101.32 / $101.32	Facility		$101.32	$101.32	$101.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $101.32 / $101.32	Professional		$101.32	$101.32	$101.32