Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $287.58 / $338.52	Facility		$244.50	$287.58	$338.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $237.60 / $599.20	Professional		$168.00	$237.60	$599.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $247.50	Professional		$198.00	$198.00	$247.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $299.38 / $318.99	Professional		$150.00	$299.38	$318.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.73 / $258.61 / $274.99	Facility		$214.73	$258.61	$274.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $243.53 / $258.61	Professional		$215.51	$243.53	$258.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $220.27	Facility		$144.19	$144.19	$220.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $220.27 / $220.27	Professional		$214.73	$220.27	$220.27
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $243.53 / $258.61	Professional		$215.51	$243.53	$258.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $215.51 / $215.51 / $215.51	Facility		$215.51	$215.51	$215.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $215.51 / $215.51	Professional		$215.51	$215.51	$215.51