Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.58 / $135.41 / $180.53	Facility		$98.58	$135.41	$180.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $85.33 / $113.70	Professional		$67.52	$85.33	$113.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $101.95 / $319.00	Professional	25	$20.57	$101.95	$319.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $192.25 / $240.32	Professional		$192.25	$192.25	$240.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $132.21 / $241.97	Professional		$99.13	$132.21	$241.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $161.84 / $487.47	Facility		$86.80	$161.84	$487.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $124.41 / $203.92	Professional		$91.59	$124.41	$203.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $168.91 / $214.15	Facility		$136.88	$168.91	$214.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $168.91 / $231.57	Professional		$111.61	$168.91	$231.57
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $102.40 / $203.78	Professional		$83.37	$102.40	$203.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $152.40 / $152.40	Professional		$129.50	$152.40	$152.40