Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $194.98	Facility		$79.43	$147.91	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $169.82	Professional		$69.18	$89.13	$169.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.42 / $104.71 / $316.23	Professional	25	$20.42	$104.71	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $257.04	Professional		$100.00	$131.83	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $165.96 / $489.78	Facility		$87.10	$165.96	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $204.17	Professional		$91.20	$125.89	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $213.80	Professional		$154.88	$199.53	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $204.17	Professional		$91.20	$104.71	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36