Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.68 / $158.30 / $187.92	Facility		$139.68	$158.30	$187.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $181.88 / $223.79	Professional		$139.68	$181.88	$223.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $266.77 / $266.77 / $266.77	Professional	25	$266.77	$266.77	$266.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.94 / $357.13 / $446.41	Professional		$172.94	$357.13	$446.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.13 / $306.38 / $493.05	Professional		$184.13	$306.38	$493.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.54 / $436.16 / $906.80	Facility		$179.54	$436.16	$906.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $341.11 / $497.09	Professional		$224.78	$341.11	$497.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $290.64 / $383.14 / $429.05	Facility		$290.64	$383.14	$429.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $264.16 / $383.14 / $545.90	Professional		$264.16	$383.14	$545.90
United Facility/Professional Professional Modifier Low / Median / High Price $203.38 / $311.16 / $497.09	Professional		$203.38	$311.16	$497.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $283.50 / $283.50	Professional		$223.97	$283.50	$283.50