Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.77 / $258.33 / $271.70	Facility		$203.77	$258.33	$271.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $143.07 / $200.25	Professional		$122.02	$143.07	$200.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.00 / $587.00 / $587.00	Professional	25	$231.00	$587.00	$587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.06 / $323.06 / $403.83	Professional		$323.06	$323.06	$403.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $224.23 / $371.57	Professional		$167.36	$224.23	$371.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.21 / $294.33 / $820.50	Facility		$146.21	$294.33	$820.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $228.01 / $374.14	Professional		$158.38	$228.01	$374.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.84 / $306.87 / $362.85	Facility		$250.84	$306.87	$362.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.64 / $306.87 / $410.88	Professional		$190.64	$306.87	$410.88
United Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $193.36 / $373.40	Professional		$153.07	$193.36	$373.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $256.50 / $256.50	Professional		$218.00	$256.50	$256.50