Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.98 / $217.74 / $227.96	Facility		$170.98	$217.74	$227.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $118.27 / $149.57	Professional		$100.55	$118.27	$149.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.17 / $273.17 / $341.46	Professional		$273.17	$273.17	$341.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.58 / $185.79 / $265.00	Professional		$141.58	$185.79	$265.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $237.77 / $694.84	Facility		$123.62	$237.77	$694.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $184.53 / $301.12	Professional		$131.60	$184.53	$301.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.60 / $248.84 / $305.45	Facility		$203.60	$248.84	$305.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $248.84 / $330.68	Professional		$145.19	$248.84	$330.68
United Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $155.62 / $286.58	Professional		$118.18	$155.62	$286.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $217.20 / $217.20	Professional		$184.70	$217.20	$217.20