Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.08 / $187.04 / $187.04	Facility		$144.08	$187.04	$187.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $181.06 / $342.37	Professional		$154.01	$181.06	$342.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $154.93 / $188.44	Professional		$150.75	$154.93	$188.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $182.00 / $384.48	Professional		$150.00	$182.00	$384.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.06 / $187.04 / $278.17	Facility		$176.06	$187.04	$278.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $177.07 / $187.09	Professional		$156.69	$177.07	$187.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.71 / $147.71 / $176.06	Facility		$147.71	$147.71	$176.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $176.06 / $176.06	Professional		$176.06	$176.06	$176.06
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $177.07 / $187.09	Professional		$156.69	$177.07	$187.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $156.62 / $156.62 / $156.62	Facility		$156.62	$156.62	$156.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $156.62 / $156.62	Professional		$156.62	$156.62	$156.62